Local random flaps are seldom used for reconstruction of complex ankle wounds because of
concern for flap failure attributable to vascular compromise and tissue edema. Negative
pressure wound therapy has been shown to improve perfusion and limit tissue edema. The
objective of this study was to demonstrate the utility of negative pressure wound therapy in
improving outcomes for local flaps of the ankle. Ten consecutive patients presenting with
complex ankle wounds and reconstructed using local flaps were treated with negative …