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Related Experiment Videos

The cross-leg flap revisited

C D Long1, M S Granick, M P Solomon

  • 1Department of Surgery, Medical College of Pennsylvania, Philadelphia 19129.

Annals of Plastic Surgery
|June 1, 1993
PubMed
Summary

Modernized cross-leg flaps offer a viable alternative for lower extremity reconstruction when free flaps are not feasible. This technique, utilizing axial blood supply and external fixation, ensures successful defect coverage and patient ambulation.

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Area of Science:

  • Orthopedic Surgery
  • Plastic Surgery
  • Vascular Anatomy

Background:

  • Free flaps are the standard for distal lower extremity reconstruction.
  • Alternative methods are sometimes necessary for complex cases.

Purpose of the Study:

  • To present a modernized cross-leg flap technique for lower extremity reconstruction.
  • To evaluate the efficacy and safety of this approach.

Main Methods:

  • Three cases of cross-leg flaps were performed, based on the posterior descending subfascial cutaneous branch of the popliteal artery.
  • Patients were managed with external fixation devices.
  • Adjacent lower extremity joints were exercised during flap attachment.

Main Results:

  • All flaps were axially based, providing length and vascularized tissue.
  • No major complications or flap failures occurred.
  • All patients achieved postoperative ambulation.

Conclusions:

  • Cross-leg flaps, when modernized with external fixation and axial vascular supply, are a successful and expeditious option for lower extremity defect coverage.

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