Abstract

The bi-pedicle flap is designed adjacent to the defect and is advanced into the defect. This leaves a secondary defect that usually must be repaired with a split-thickness skin graft. The bi-pedicle technique in limbs has been refined to a single stage procedure. The commonest uses in limbs are trauma, tumor resection, peripheral vascular disease and diabetes. The objective of this study was to show the use and effectiveness of bipedicle flaps for coverage of defects in the leg and foot, their utility, advantages and merits. The bi-pedicle flaps are random flaps with blood supply from both ends of the flap. These flaps are safe, simple to raise and provide an effective coverage with lesser donor site morbidity or defects. Moreover, there is no need to delay these flaps or there are requirements of any special instruments like a microscope or deep skills as in microsurgical free flaps. The final appearance of these bipedicle flaps is also very acceptable due to use of adjacent local tissues.