Cross-leg free flap for limb salvage in the setting of radiation

BMJ Case Rep. 2018 Aug 10:2018:bcr2018224563. doi: 10.1136/bcr-2018-224563.

Abstract

Limb salvage in an irradiated patient with limited recipient vessels leaves few options for reconstruction. Cross-leg free flaps have been used to reconstruct defects that would otherwise lead to amputation in patients with no ipsilateral recipient vessels. We present the first documented case of a cross-leg free flap for limb salvage in a radiated bed after infection and tumour resection.

Keywords: plastic and reconstructive surgery; radiotherapy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Diagnosis, Differential
  • Female
  • Humans
  • Limb Salvage*
  • Peripheral Arterial Disease / diagnosis*
  • Peripheral Arterial Disease / diagnostic imaging
  • Peripheral Arterial Disease / surgery
  • Plastic Surgery Procedures
  • Radiation Injuries*
  • Surgical Flaps*
  • Tibial Arteries*