Cross-Leg as Salvage Procedure after Free Flaps Transfer Failure: A Case Report

Posttraumatic wounds of the lower leg with soft tissue defects and exposed fractures are a reconstructive challenge due to the scarce availability of local tissues and recipient vessels. Even when a free tissue transfer can be performed the risk of failure remains considerable. When a free flap is...

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Main Authors: F. Contedini, L. Negosanti, E. Fabbri, V. Pinto, B. Tavaniello, R. Sgarzani, R. Cipriani
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2012/205029
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author F. Contedini
L. Negosanti
E. Fabbri
V. Pinto
B. Tavaniello
R. Sgarzani
R. Cipriani
author_facet F. Contedini
L. Negosanti
E. Fabbri
V. Pinto
B. Tavaniello
R. Sgarzani
R. Cipriani
author_sort F. Contedini
collection DOAJ
description Posttraumatic wounds of the lower leg with soft tissue defects and exposed fractures are a reconstructive challenge due to the scarce availability of local tissues and recipient vessels. Even when a free tissue transfer can be performed the risk of failure remains considerable. When a free flap is contraindicated or after a free flap failure, the cross-leg flap is still nowadays a possible option. We report a case of a male with a severe posttraumatic wound of the lower leg with exposed tibia fracture firstly treated with two consecutive latissimus dorsi muscular free flaps, failed for vascular thrombosis; the coverage was then achieved with a cross-leg flap with acceptable results.
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publishDate 2012-01-01
publisher Wiley
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series Case Reports in Orthopedics
spelling doaj-art-37d159f03a784f88bc23388cf5a9cc892025-08-20T03:20:29ZengWileyCase Reports in Orthopedics2090-67492090-67572012-01-01201210.1155/2012/205029205029Cross-Leg as Salvage Procedure after Free Flaps Transfer Failure: A Case ReportF. Contedini0L. Negosanti1E. Fabbri2V. Pinto3B. Tavaniello4R. Sgarzani5R. Cipriani6Plastic Surgery Department, S.Orsola-Malpighi Hospital, 40138 Bologna, ItalyPlastic Surgery Department, S.Orsola-Malpighi Hospital, 40138 Bologna, ItalyPlastic Surgery Department, S.Orsola-Malpighi Hospital, 40138 Bologna, ItalyPlastic Surgery Department, S.Orsola-Malpighi Hospital, 40138 Bologna, ItalyPlastic Surgery Department, S.Orsola-Malpighi Hospital, 40138 Bologna, ItalyPlastic Surgery Department, S.Orsola-Malpighi Hospital, 40138 Bologna, ItalyPlastic Surgery Department, S.Orsola-Malpighi Hospital, 40138 Bologna, ItalyPosttraumatic wounds of the lower leg with soft tissue defects and exposed fractures are a reconstructive challenge due to the scarce availability of local tissues and recipient vessels. Even when a free tissue transfer can be performed the risk of failure remains considerable. When a free flap is contraindicated or after a free flap failure, the cross-leg flap is still nowadays a possible option. We report a case of a male with a severe posttraumatic wound of the lower leg with exposed tibia fracture firstly treated with two consecutive latissimus dorsi muscular free flaps, failed for vascular thrombosis; the coverage was then achieved with a cross-leg flap with acceptable results.http://dx.doi.org/10.1155/2012/205029
spellingShingle F. Contedini
L. Negosanti
E. Fabbri
V. Pinto
B. Tavaniello
R. Sgarzani
R. Cipriani
Cross-Leg as Salvage Procedure after Free Flaps Transfer Failure: A Case Report
Case Reports in Orthopedics
title Cross-Leg as Salvage Procedure after Free Flaps Transfer Failure: A Case Report
title_full Cross-Leg as Salvage Procedure after Free Flaps Transfer Failure: A Case Report
title_fullStr Cross-Leg as Salvage Procedure after Free Flaps Transfer Failure: A Case Report
title_full_unstemmed Cross-Leg as Salvage Procedure after Free Flaps Transfer Failure: A Case Report
title_short Cross-Leg as Salvage Procedure after Free Flaps Transfer Failure: A Case Report
title_sort cross leg as salvage procedure after free flaps transfer failure a case report
url http://dx.doi.org/10.1155/2012/205029
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