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Updated: Jul 14, 2026
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Procurement and Perfusion-Decellularization of Porcine Vascularized Flaps in a Customized Perfusion Bioreactor
Published on: August 1, 2022
Cross-leg tibial posterior perforator flap
Alexandru V Georgescu1, Capota Irina, Matei Ileana
1Clinic of Plastic Surgery and Reconstructive Microsurgery, University of Medicine Iuliu Hatieganu, Cluj-Napoca, Romania. geordv@hotmail.com
Microsurgery
|June 9, 2007
Summary
The cross-leg perforator flap offers a superior solution for covering lower leg tissue defects, improving patient mobility and recovery outcomes. This technique overcomes limitations of traditional methods in complex cases.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Vascular Surgery
Background:
- Post-traumatic lower leg defects present challenges due to poor tissue quality and compromised vasculature.
- Traditional reconstructive methods often prove insufficient for these complex cases.
- Cross-leg flaps remain a viable option for tissue coverage in the lower extremity.
Observation:
- This study presents two cases utilizing a cross-leg perforator flap.
- The flap was based on perforator vessels originating from the posterior tibial artery.
- This technique addresses challenging lower leg tissue defects.
Findings:
- Favorable outcomes were achieved, including comfortable immobilization and excellent flap integration.
- Pedicle division occurred between 14-21 days post-surgery.
- Patients experienced early ambulation following the procedure.
Implications:
- The cross-leg perforator flap effectively mitigates disadvantages associated with classic cross-leg flaps.
- This reconstructive technique is suitable for cases where other surgical options are contraindicated.
- It offers a valuable alternative for complex lower leg reconstruction.
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