“…Therefore the ligation and the raising of a segment of the fibular pedicle in this flap are essential. Historically, Brazilian surgeons have been active and creative in the description of new flaps: Baudet et al 38 dos Santos 39,40 , Nassif et al 41 Masquelet and Rinaldi, 42 Masquelet et al 43 Recalde Rocha et al 44, 45 Bertelli and Pagliei 46,47 , Teng et al 48,49 and Ishida et al 50 With this initial report the authors aim to hoist this category with the osteomiocutaneous flap that we call gastrocnemius-fibular skin flap. Its greatest damage is aesthetic, since its large skin island is taken from the leg, which may be a problem to female patients.…”