Title

Medial SuralGASTROCNEMIUS Muscle Perforator Free Flap: an Immediate Cross-Leg Flap?

Publication/Presentation Date

5-1-2005

Abstract

The advantage of the medial sural (GASTROCNEMIUS) muscle perforator free flap is that it is relatively thin, even in most obese individuals, and the donor site can be acceptable, if morbidity must preferably be restricted to the lower extremities. Unfortunately, anatomic anomalies of both the arterial and venous circulation are not infrequent, making this a somewhat less than perfect donor site in the author's total experience using this flap. Nevertheless, the contralateral calf skin was successfully used, as shown in a clinical example, to cover a transmetatarsal amputation stump. This allows the conclusion that, at least as a technical exercise, the medial sural (GASTROCNEMIUS) muscle perforator free flap as a microsurgical transfer can be used as an "immediate" cross-leg flap. This is reminiscent of bygone eras, where such a feat required multiple stages over many weeks.

Volume

21

Issue

4

First Page

217

Last Page

223

ISSN

0743-684X

Disciplines

Medicine and Health Sciences | Other Medical Specialties | Plastic Surgery | Surgery

PubMedID

15971137

Department(s)

Department of Surgery, Department of Surgery Faculty

Document Type

Article