Related Experiment Video
Updated: Oct 13, 2025
10:10
A Model of Free Tissue Transfer: The Rat Epigastric Free Flap
Published on: January 15, 2017
17.0K
The free flap man: An heroic 50-year odyssey via multiple flaps
1Division of Plastic Surgery, Sacred Heart Campus, St. Luke's Hospital, Allentown, Pennsylvania, USA.
Microsurgery
|November 13, 2021
Summary
This case study highlights a steelworker who avoided amputation after severe bilateral foot and ankle injuries by undergoing five sequential free flap surgeries over 50 years, preserving his ability to walk and work.
Area of Science:
- Reconstructive Microsurgery
- Orthoplastic Surgery
Background:
- Lower extremity reconstruction often utilizes single free flaps.
- Complex cases involving multiple or bilateral injuries may necessitate multiple free flaps.
Observation:
- A 23-year-old steelworker sustained severe bilateral foot and ankle injuries from molten steel immersion.
- Initial treatment involved skin grafts directly on bone, leading to recurrent graft instability over 50 years.
Findings:
- Five distinct free flap procedures were required sequentially to achieve stable soft tissue coverage.
- This extensive reconstructive approach successfully averted amputation.
Implications:
- Demonstrates the potential for limb salvage in severe, long-term lower extremity trauma through persistent microsurgical intervention.
- Highlights the critical role of microvascular surgery in managing complex, multi-stage reconstructive challenges and maintaining patient function.
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