Reconstruction of the traumatized leg: Use of distally based free flaps

B. E. Stompro, Thomas R Stevenson, S. J. Mathes

Research output: Contribution to journalArticlepeer-review

30 Scopus citations


Microvascular free-tissue transfer is often employed to achieve limb salvage in traumatic leg wounds. Previous experience has shown that one cause of flap failure is placement of the microvascular anastomoses within the zone of injury and subsequent thrombosis. This observation has prompted surgeons to perform anastomoses on the proximal uninjured recipient vessels. However, access to the vessels distal to the injury site is often technically easier. An assessment was made of 23 free flaps used for leg reconstruction to evaluate the success of performing microvascular anastomoses distal to the zone of injury. Twenty-one flaps with distal anastomoses were successful (91 percent). Distally based free-flap reconstruction provides an acceptable alternative to the commonly employed proximal approach.

Original languageEnglish (US)
Pages (from-to)1021-1027
Number of pages7
JournalPlastic and Reconstructive Surgery
Issue number5
StatePublished - 1994

ASJC Scopus subject areas

  • Surgery


Dive into the research topics of 'Reconstruction of the traumatized leg: Use of distally based free flaps'. Together they form a unique fingerprint.

Cite this