External fixation in reconstructive surgery: crossed leg flap
DOI:
https://doi.org/10.31053/1853.0605.v75.n3.19731Keywords:
crossed leg flap, external fixatorAbstract
Introduction: Lower limb coverage defects are sometimes associated with disruption of vascular pedicles that make it impossible to perform free flaps. In these cases the crossed leg flap is a good therapeutic alternative. Material and methods: Two patients presented a coverage defect non-treatable with microvascularized free flap after being operated on multiple times in the lower limbs. A cross leg flap was performed stabilizing both lower limbs with an external fixator. Both patients showed a satisfactory recovery returning to walk without additional help. Conclusion: Crossed leg flap stabilized by external fixation is a valid alternative for soft tissue defects.
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1.- Reisler T1, Buziashvili D2, Liu FC2, Datiashvili RO1. Revisiting the Fasciocutaneous Perforator Cross-Leg Flap. Eplasty. 2016 Apr 28;16:ic16. eCollection 2016.
2.- Melikoglu C1, Eren F, Kok D. Repair of pretibial atonic wound with long cross-leg flap. Int J Low Extrem Wounds. 2013 Sep;12(3):223-5.
3.- Sood A1, Khamsi B, Datiashvili R, Berberian WS. Use of cross-leg flap for wound complications resulting from open pilon fracture. Am J Orthop (Belle Mead NJ). 2015 Mar;44(3):131-4.
4.- Macedo JLS1,2, Rosa SC1,3, Botelho DL1, Santos CPD1, Queiroz MN2, Gomes TGACB2. Lower extremity reconstruction: epidemiology, management and outcomes of patients of the Federal District North Wing Regional Hospital. Rev Col Bras Cir. 2017 Jan-Feb;44(1):9-16.
5.- Halls MJ1. Pedicled cross-leg flaps. J Am Coll Surg. 2014 Mar;218(3):503-4.
6.- Momeni A1, Buntic RF2, Buncke GM2. Cross-leg flaps: preferred alternative to free flaps? J Am Coll Surg. 2014 Feb;218(2):308-9.
7.- Pan X1, Wang G2, Lui TH3. Transplantation Treatment of Extensive Soft-Tissue Defects in Lower Extremities with a Combination of Cross-Bridge Flap and Combined Free-Tissue Flap Covered by Vacuum Sealing Drainage: One Case Report. Open Orthop J. 2017 Jul 31;11:704-713.
8.- Eser C1, Kesikta? E2, Gencel E2, Aslaner EE2, Yavuz M2. An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap. Ulus Travma Acil Cerrahi Derg. 2016 Jan;22(1):46-51.
9.- Kapadia A1, Cheruvu VR, John JR, Tripathy S, Sharma RK. Reconstruction in pediatric orthopedic trauma: the role of primary cross leg flap cover. J Pediatr Orthop B. 2017 Mar;26(2):172-178.
10.- Wang ZQ1, Cao YL2, Huang YF2, Liu DQ2, Li XF2. Cross-leg repair of large soft-tissue defects in distal sites of the feet by distally based neuro-fasciocutaneous flaps with perforating vessels. Genet Mol Res. 2014 Jul 25;13(3):5484-91.
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