ABSTRACT
A massive trunk defect resulting from resection of recurrent sarcoma was reconstructed
with a combined free flap incorporating medial, anterior, and lateral thigh tissues.
This flap included the tensor fasciae latae, lateral thigh perforator, and rectus
femoris, all based on the lateral femoral circumflex pedicle. A saphenous vein conduit
enabled this flap to replace resected tissues at the lower thorax. Combining the three
different commonly used thigh flaps on a single large pedicle enabled transfer of
a 47.5 × 33.5-cm mega-flap.
KEYWORDS
Trunk reconstruction - lateral thigh flap - rectus femoris - tensor fasciae latae
- combined free flap
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Jonathan W JonesM.D.
4060 Fourth Avenue, #205, San Diego, CA 92103
