Free Flap: Important Tool for Lower Extremity (original) (raw)

2014

Abstract

INTRODUCTION: Reconstruction of lower 3rd of extremity poses great challenge to reconstructive surgeon. Free flap coverage brings a striking difference in lower limb salvage. Lower extremity defects can be managed by direct closure, skin grafting, local flaps, cross leg flap and free flap. The versatility of free flaps in covering a defect of any size irrespective of their locality keeps them in the top rung of the reconstructive ladder. MATERIALS AND METHODS: We present a retrospective study of 12 patients who underwent free flap reconstruction for lower extremity defects between august 2012 to June 2014. Different flaps were chosen based on the size and location of the defect. Radial forearm flap was done in 6 patients, anterolateral thigh flap in 4, latissimus dorsi flap in 1 and free fibula flap in 1 patient with a success rate of 91.6%. CONCLUSION: Free flap is the most cost effective and stable solution for lower extremity reconstruction. It is the best solution to manage larg...

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