Abstract
Despite recent advances in free tissue transfer, management of a large upper tibial wound extending to the knee can be challenging for reconstructive surgeons. In this report, we present two cases where a free latissimus dorsi flap was used for successful soft-tissue coverage of the wound for limb salvage with optimal reconstructive outcomes. Our unique recipient vessel selection allows more effective free-tissue transfer without using a vein graft. Our preferred flap inset technique with multiple interrupted horizontal mattress sutures over a closed suction drain leads to an improvement of the initial contour of soft-tissue coverage that may contribute to the final optimized outcome in the lower-extremity reconstruction with or without a further debulking procedure.
Original language | English (US) |
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Pages (from-to) | 548-552 |
Number of pages | 5 |
Journal | Microsurgery |
Volume | 27 |
Issue number | 6 |
DOIs | |
State | Published - 2007 |
ASJC Scopus subject areas
- Surgery