Soft-tissue defects of the pretibial region constitute a major reconstructive challenge because of the insufficiency of the local tissues. In such cases, a long cross-leg flap may be an alternative option. This study presents a case with an atonic wound in the pretibial region caused by a previous traffic accident, which had received cross-leg flap repair following the excision.
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http://dx.doi.org/10.1177/1534734613502042 | DOI Listing |
Indian J Plast Surg
December 2024
Department of Burns and Plastic Surgery, Atal Bihari Vajpayee Institute of Medical Sciences, Dr. Ram Manohar Lohia Hospital, New Delhi, India.
We present the case of a 36-year-old male patient with a posttraumatic composite defect of the lower two-thirds of the anterior aspect of the left leg with exposed necrotic tibia in an old, neglected type 3b fracture of the tibia of 9-month duration. The options for definitive soft-tissue cover include microvascular free tissue transfer and cross-leg flaps. In trauma cases, the surrounding tissue is usually damaged, and the recipient vessels are frequently implicated, ruling out the use of a microvascular free flap.
View Article and Find Full Text PDFArch Plast Surg
July 2024
Department of Plastic Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Jt Dis Relat Surg
March 2024
Muğla Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, 48000 Menteşe, Muğla, Türkiye.
Objectives: This study aimed to present our experiences with cross-leg flap surgery, which demonstrates successful outcomes in lower limb soft tissue defects without the necessity of microsurgical intervention.
Patients And Methods: The retrospective study included 26 patients (18 males, 8 females; mean age: 35.6±12.
Microsurgery
February 2024
Division of Plastic and Reconstructive Surgery, University of California Davis, School of Medicine, Sacramento, USA.
Background: Free tissue transfer is a mainstay treatment for lower extremity soft tissue injuries. When the traditional cross-leg flap cannot provide enough coverage, a cross-leg free flap (CLFF) is a limb-saving alternative. The aim of this study is to conduct a systematic review of the literature published on the CLFF.
View Article and Find Full Text PDFJPRAS Open
December 2023
Plastic and Reconstructive Surgery Department, Minia University Hospital, Minia, Egypt.
Background: Cross-leg (CL) flap procedures have a long history in reconstructive surgery, having been described for the first time in 1854. The application of these flaps can potentially solve many reconstructive issues with satisfactory outcomes.
Patients And Methods: During our research into the history and development of CL flaps, we identified a variety of flaps for which a classification system can be proposed based on blood supply and flap modifications.
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