Article


Repair of Refractory Calf Soft Tissue Defects with Bridged Cross- Leg Anterolateral Thigh Flap Combined with VSD and External Frame

Beibei Liu, Zhao Zhang*, Duo Li, Zhong Liu, Jian Jiao, Yu Shi, Pin’an Xu & Yadong Zhou

Department of Traumatic Orthopedics, Weapons’ Industrial 521 Hospital, Xi ‘an, Shaanxi, China.

Dr. Zhao Zhang, Department of Traumatic Orthopedics, Weapons’ Industrial 521 Hospital, Xi ‘an, Shaanxi, China.

Keywords: Anterolateral Thigh Flap; Posterior Tibial Artery Perforator Flap; VSD Technique; External Frame Technique; Soft Tissue Repair

Abstract

Objective: To investigate the efficacy of a bridged cross-leg free anterolateral thigh flap combined with VSD (vacuum sealing drainage) and external frame techniques in repair of refractory calf soft tissue defects. Methods: From September 2017 to August 2021, 13 patients with calf soft tissue defects combined with fractures were repaired in our department using a free anterolateral thigh flap combined with a
cross-leg flap graft with the healthy posterior tibial vessels as the blood supply vessel. 8 cases were male and 5 cases were female. with a mean age of 39.2 years (range, 22-54years). There were 8 cases of car accident injury, 4 cases of machine strangulation injury, and 1 case of fall from height injury.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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