PMC9952235_01
Intraoperative photographs. (A) 11 cm x 6 cm sized capsule defect (green dotted line), scored gastrocnemius muscle fascia (yellow bold line). (B) Gastrocnemius musculocutaneous flap covered the lower half. (C) Deepithelized skin island (yellow dotted line), the gastrocnemius muscle, and the distally based gracilis (green bold line) covered the defect was and sutured. (D) An immediate postoperative appearance after skin closure. (*, scored gastrocnemius muscle fascia;  , skin island overlying gastrocnemius muscle;  , gastrocnemius muscle).
fsurg-10-1109936-g001.jpg
PMC9952235_01_fsurg-10-1109936-g001.jpg
F1
Eventually, The flap volume was expected to be insufficient, so the following method was used (Figures 1, 2). 
Schematic diagram.
fsurg-10-1109936-g002.jpg
PMC9952235_01_fsurg-10-1109936-g002.jpg
F2
Eventually, The flap volume was expected to be insufficient, so the following method was used (Figures 1, 2). 