External fixation in reconstructive surgery: crossed leg flap

Introduction: Lower limb coverage defects are sometimes associated with disruption of vascular pedicles that make it impossible to perform free flaps. In these cases the crossed leg flap is a good therapeutic alternative. Material and methods: Two patients presented a coverage defect non-treatable w...

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Autores principales: Aguilar Ezquerra, Andrés, Yuste Benavente, Valentin, Jordan Palomar, Elena
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/19731
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Sumario:Introduction: Lower limb coverage defects are sometimes associated with disruption of vascular pedicles that make it impossible to perform free flaps. In these cases the crossed leg flap is a good therapeutic alternative. Material and methods: Two patients presented a coverage defect non-treatable with  microvascularized free flap after being operated on multiple times in the lower limbs. A cross leg flap was performed stabilizing both lower limbs with an external fixator. Both patients showed a satisfactory recovery returning to walk without additional help. Conclusion: Crossed leg flap stabilized by external fixation is a valid alternative for soft tissue defects.