This flap can extend distally to the toes. Before creating the flap, the length of skinneeded is carefully measured with a length of suture material. Some allowance should be madefor flap shortening during dissection and limb motion. The skin on the medial limb is palpatedand marked to ensure that adequate skin will remain for closure. The flap is outlined with amarking pen on the medial aspect of the leg. The proximal incision is made first, cranially tocaudally and the saphenous artery and vein are ligated and divided. The cranial and caudalincisions are made to the level of the tibiotarsal joint. The cranial and caudal branches of themedial saphenous artery and vein are included.
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