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CC BY-NC 4.0 · Arch Plast Surg 2020; 47(06): 619-621
DOI: 10.5999/aps.2018.00171
Case Report

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

Georgios Pafitanis 
Group for Academic Plastic Surgery, The Blizard Institute, Barts’ and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
Department of Plastic Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK
,
Alexandros Vris 
Department of Orthopedics, The Royal London Hospital, Barts Health NHS Trust, London, UK
,
Dimitris Reissis
Department of Plastic Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK
,
Amir Sadri
Department of Plastic Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK
,
Reza Alamouti
Department of Plastic Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK
,
Simon Myers
Group for Academic Plastic Surgery, The Blizard Institute, Barts’ and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
Department of Plastic Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK
,
Parviz Sadigh 
Department of Plastic Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK
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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.

Keywords

Muscle neovascularization - Vein graft - Recycle flap - Flap pedicle

Supplemental material

    Supplementary Fig. 1. Immediate postoperative outcome photography. Postoperative on-table photograph demonstrating the free anterolateral thigh skin paddle, the free latissimus dorsi muscle covered with split-thickness skin graft and its skin paddle.

    Supplemental data can be found at: https://doi.org/10.5999/aps.2018.00171

    Supplementary Fig. 2. Day 7 postoperative outcome photograph. Postoperative day 7 photograph of the reconstructed lower limb.

    Supplemental data can be found at: https://doi.org/10.5999/aps.2018.00171

  • Supplementary material


Publication History

Received: 19 February 2018

Accepted: 18 June 2020

Article published online:
25 March 2022

© 2020. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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Comment to this article:

Commentary: Recycling of Flap Pedicle in Complex Lower Extremity Reconstruction: A Proof of Free Muscle Flap NeovascularizationArch Plast Surg 2020; 47(06): V1-V1
DOI: 10.1055/s-0043-1777135

 

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