Arch Plast Surg.
2020 Nov;47(6):619-621. 10.5999/aps.2018.00171.
Recycling of flap pedicle in complex lower extremity reconstruction: A proof of free muscle flap neovascularization
- Affiliations
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- 1Group for Academic Plastic Surgery, The Blizard Institute, Barts’ and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
- 2Department of Plastic Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK
- 3Department of Orthopedics, The Royal London Hospital, Barts Health NHS Trust, London, UK
- KMID: 2508840
- DOI: http://doi.org/10.5999/aps.2018.00171
Abstract
- This article portrays the authors’ clinical experience of a complex case of lower extremity reconstruction using a recycled pedicle from 10 years old free latissimus dorsi musculocutaneous flap to supply a new free anterolateral thigh flap for proximal tibia wound defect reconstruction. It provides clinical evidence that muscle neovascularization occurs and supports the dogma peripheral tissue neovascularization. This case stipulates that recycling of pedicle is feasible, when used with appropriate strategy and safety and also provides evidence for the long-term survival of greater saphenous vein grafts in lower extremity reconstruction.
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