Arch Hand Microsurg.  2019 Jun;24(2):183-188. 10.12790/ahm.2019.24.2.183.

Revisiting the Cross-Leg Flap: A Degraded or Still Useful Method?

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. pshero2@naver.com

Abstract

Since the development of microsurgery, the cross-leg flap has not been a preferred method of lower extremity reconstruction. However, it is being used in several centers and has shown favorable results. This report presents our experience in treating lower extremity injuries using the cross-leg flap. We studied three patients with lower extremity defect who underwent cross-leg flap surgery. As there was no proper perforator for local flap or recipient vessel for free flap in the ipsilateral leg, two underwent the posterior tibial artery island cross-leg flap and one had the latissimus dorsi free flap, wherein the recipient vessels comprised the contralateral posterior tibial vessels. All procedures were successful without any severe complications. We recommend that cross-leg flaps be considered not only in cases of multiple vessel injuries or when no other options are available but also in cases of broad trauma or where scar tissue is present around the defect.

Keyword

Lower limb; Injuries; Reconstructive surgery; Wounds; Surgical flaps

MeSH Terms

Cicatrix
Free Tissue Flaps
Humans
Leg
Lower Extremity
Methods*
Microsurgery
Superficial Back Muscles
Surgical Flaps
Tibial Arteries
Wounds and Injuries
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