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KMID : 1038220200470060619
Archives of Plastic Surgery
2020 Volume.47 No. 6 p.619 ~ p.621
Recycling of flap pedicle in complex lower extremity reconstruction: A proof of free muscle flap neovascularization
Pafitanis Georgios

Vris Alexandros
Reissis Dimitris
Sadri Amir
Alamouti Reza
Myers Simon
Sadigh Parviz
Abstract
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.
KEYWORD
Muscle neovascularization, Vein graft, Recycle flap, Flap pedicle
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