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Recycling of flap pedicle in complex lower extremity reconstruction: A proof of free muscle flap neovascularization.

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.

SUBMITTER: Pafitanis G

PROVIDER: S-EPMC7700852 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Recycling of flap pedicle in complex lower extremity reconstruction: A proof of free muscle flap neovascularization.

Pafitanis Georgios G Vris Alexandros A Reissis Dimitris D Sadri Amir A Alamouti Reza R Myers Simon S Sadigh Parviz P

Archives of plastic surgery 20201115 6

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 appropri ...[more]

PMID: 33238351

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