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An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
Published on: December 5, 2025
Random-Pattern Skin Paddle on a Free Latissimus Dorsi Flap as an Intraoperative Backup for Distal Lower-Limb
Ivan Budimir1,2,3,4, Borna Vojvodić5, Rado Žic1,2
1Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital Dubrava, Avenija Gojka Šuška 6, 10000 Zagreb, Croatia.
Clinics and Practice
|June 25, 2026
Summary
This study introduces a novel propeller-type skin paddle technique using the latissimus dorsi free flap for lower-extremity reconstruction. This adaptable method offers improved intraoperative flexibility in complex trauma cases.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Orthopedic Trauma
Background:
- The latissimus dorsi free flap is a standard for extensive lower-extremity soft tissue defects.
- Conventional design involves a single composite unit of skin paddle and muscle.
- An alternative technique using a secondarily mobilized, propeller-type skin paddle on random vascularization is presented.
