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J Reconstr Microsurg 2005; 21(3): 167-172
DOI: 10.1055/s-2005-869822
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Flow-Through, Functioning, Free Musculocutaneous Flap Transfer for Restoration of a Mangled Extremity

Ömer Özkan1 , H. Ege Özgentaş1 , M. Bahadir Dikici1
  • 1Department of Plastic and Reconstructive Surgery, Akdeniz University School of Medicine, Antalya, Turkey
Further Information

Publication History

Accepted: September 1, 2004

Publication Date:
06 May 2005 (online)

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ABSTRACT

Reconstructing a mangled extremity requires careful, complete examination of the functional and structural status of the injured part. Although the vascular status of the injured extremity is a priority, simultaneous reconstruction of skeletal, vascular, and neuromuscular structures should be considered in a combined approach. The purpose of this study was to describe a one-stage reconstruction of both soft-tissue coverage and revascularization for a lower extremity, along with functional restoration of an anterior lower leg. For this purpose, the functioning transfer of a free latissimus dorsi musculocutaneous flap as a flow-through type was performed. The results demonstrate that the technique is extremely useful in limb-salvage procedures from both functional and structural viewpoints.

KEYWORDS

Lower-extremity reconstruction - flow-through latissimus dorsi flap - functional transfer

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Ömer ÖzkanM.D. 

Akdeniz Üniversitesi Hastanesi, Plastik ve Rekonstrüktif Cerrahi Anabilim Dali

B Blok kat 5, Antalya, Turkey