Two consecutive repairs of the lower limb with a single gastrocnemius musculocutaneous cross-leg flap

The medial gastrocnemius musculocutaneous flap and the Hoffmann apparatus give new freedom of action in the design of cross-leg flaps. In a patient with two lower limb defects, consecutive transfer of the same flap to both defects was carried out without incident, and the Hoffman apparatus was removed on the sixteenth postoperative day.