Background: Soft tissue cover in the lower limb is difficult due to limited tissue mobility.
Objective: To present the V-Y fasciocutaneous island advancement flap as an alternative for reconstructing postsurgical defects of the leg.
Methods: Eleven patients with defects on the leg following tumor excision were reconstructed using the V-Y fasciocutaneous island advancement flap.
Results: There were no major complications, except for one partial distal flap necrosis in a patient who was a smoker.
Conclusion: The V-Y fasciocutaneous island advancement flap is a viable alternative for reconstructing surgical defects of the leg.