TY  - JOUR
TI  - An idea for bringing the recipient pedicle of cross leg free flap closer: Fasciocutaneous flap above pedicle
AB  - BACKGROUND: Cross leg free flaps are one of the salvage methods used for free tissue transfer in large tissue defects in the ab- sence of recipient vessels. The fasciocutaneous flap above the posterior tibial artery can be harvested to protect the pedicle and to advance a distance to wound, which is equal to the length of fasciocutaneous flap. METHODS: Patients who were operated with cross leg free flap with the supporting fasciocutaneous flap on unwounded side were included in the study between years 2010 and 2020. Age, sex, location and size of the defects, arterial patencies, flap choices, fascio- cutaneous flap size, duration of operation, cross flap separation timing, complications, and time to return to work were evaluated. RESULTS: There were six patients with the etiology of high-energy electrical burns and trauma. There was only one arterial refilling for three patients and no refilling for others. Latissimus dorsi skin muscle flap was used in all but one patient. The mean defect size was 6.6×14.8 cm. The mean size of fasciocutaneous flaps was 4.08×5 cm. The mean operation time was 360 min. There was no com- plication except one dehiscence and one marginal necrosis and infection which were healed with wound care. Average time to return to work was 9 months. CONCLUSION: In similar cases, as wounded lower extremities with one or no artery refill, harvesting a fasciocutaneous flap with recipient vessels will be useful before considering the option of using a bridge free flap in medium to moderate sized defects.
AU  - yasar, emrah
AU  - DEMİR, CAN İLKER
AU  - Tekfiliz, İsmail
AU  - alagoz, murat sahin
DO  - 10.14744/tjtes.2022.97970
PY  - 2022
JO  - Ulusal Travma ve Acil Cerrahi Dergisi
VL  - 28
IS  - 12
SN  - 1306-696X
SP  - 1701
EP  - 1707
DB  - TRDizin
UR  - http://search/yayin/detay/1174912
ER  -