Local Flap Techniques for Reconstruction of Large Truncal and Extremity Defects

Area of Science:

• Dermatologic surgery
• Plastic and reconstructive surgery

Background:

• Large cutaneous defects frequently occur in dermatologic surgery, often too extensive for primary closure.
• Local flaps are a preferred reconstructive method due to reliable blood supply, good skin match, and suitability for office-based procedures under local anesthesia.

Purpose of the Study:

• To present preferred local flap techniques for reconstructing large defects of the trunk and extremities.
• To provide an overview of experience-based narrative techniques with illustrative cases.

Main Methods:

• Experience-based narrative overview.
• Description of preferred local flap techniques.
• Inclusion of representative case examples.

Main Results:

• Local flaps reliably cover large truncal and extremity wounds, maintaining natural contour and mobility.
• Preferred techniques include A-T advancement, single- and double-arm (O-Z) rotation flaps, rhombic flaps, keystone flaps, and peri-areolar mobilization.
• Flap choice is based on anatomic site and defect characteristics.

Conclusions:

• Local flaps are versatile and effective for closing large defects on the trunk and extremities.
• These methods provide dependable wound coverage while optimizing functional and aesthetic outcomes.