Citation Information :
Turgut G, Kayalı MU, Köse Ö, Baş L. Repair of a wide lower extremity defect with cross-leg free transfer of latissimus dorsi and serratus anterior combined flap: a case report. 2010; 5 (3):155-158.
Composite tissue loss in extremities involving neurovascular structures has been a major challenge for reconstructive surgeons. Reconstruction of large defects can only be achieved with microsurgical procedures. The success of free flap operations depends on the presence of healthy recipient vessels. In cases with no suitable donor artery and vein or in which even the use of vein grafts would not be feasible, the lower limb can be salvaged with a cross-leg free flap procedure. We present a case with a large composite tissue loss that was reconstructed with cross-leg free transfer of a combined latissimus dorsi and serratus anterior muscle flap. This case indicates that this large muscle flap can survive with the cross-leg free flap method and this technique may be a viable alternative for large lower extremity defects that have no reliable recipient artery.
Topalan M (2000) A new and safer anastomosis technique in cross-leg flap procedure using the dorsalis pedis arterial system. Plast Reconstr Surg 105:710-713
Taylor GI, Townsend P, Corlett R (1979) Superiority of the deep circumflex iliac vessels as the supply for free groin flap. Plast Reconstr Surg 64:595-604
Yu ZJ, Tang CH, Ho HG (1985) Cross bridge skin flap transfer: a case report. J Reconstr Microsurg 1:309-311
Yamamoto M, Kaji S, Mrakami Y, Yamanobe Y, Nakamura M (1992) The use of a cross-leg freeflap for the repair of an extensive injury of the lower extremities. Jpn J Plast Reconstr Surg 35:539
Ding SY (1993) Treatment of chronic osteomyelitis of the leg with free latissimus dorsi myocutaneous flap anastomosed to contralateral leg vessels. Chin J Plast Surg Burns 9:106
Townsend PLG (1987) Indications and long term assessment of 10 cases of cross-leg DCIA flaps. Ann Plast Surg 19:225-233
Yamada A, Harii K, Ueda K, Asato H, Tanaka H (1995) Versatility of a cross-leg free rectus abdominis flap for leg reconstruction under difficult and unfavorable conditions. Plast Reconstr Surg 95:1253-1257
Chen H, El-Gammal TA, Wei F, Chen H, Noordhoff MS, Tang Y (1997) Cross-leg free flaps for difficult cases of leg defects: indications, pitfalls, and long-term results. J Trauma 43(3): 486-491
Burd A, Ahmed K, Noronha FV, Chan JY, Pang PC (2006) Surgical reconstruction of attempted suicide charcoal burns. J Burn Care Res 27(3):330-332
Yu ZJ, Huang MJ, Zheng L (1984) Influence of pedicle severance at different time on the survival of canine skin flap. Chin Med J 64:449
Serel S, Kaya B, Demiralp O, Can Z (2006) Cross-leg free anterolateral thigh perforator flap: a case report. Microsurgery 26(3):190-192
Mathes SJ, Alpert B, Chang N (1982) Use of the muscle flap in chronic osteomyelitis: experimental and clinical correlation. Plast Reconstr Surg 69:815-829
Harii K, Yamada A, Ishihara K, Miki Y (1982) A free transfer of both latissimus dorsi and serratus anterior flaps with thoracodorsal vessel anastomoses. Plast Recons Surg 70:620-629
