Cross-leg free flaps and cross-leg vascular cable bridge flaps for lower limb salvage: experience before and after COVID-19

Ciudad, Pedro; Escandón, Joseph M.; Manrique, Oscar J.; Llanca, Lilyan; Reynaga, César; Mayer, Horacio F.

doi:10.1007/s00238-023-02052-6

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2023

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“…Treatment options include contralateral pedicled crossleg flaps, free cross-leg flaps, and the cross-leg vascular cable bridge (CLVCB) technique. 1,3 The CLVCB technique, described by our senior author, utilizes a flow-through tubed radial forearm free flap as a vascular bridge between the contralateral noninjured leg and a second free flap on the defect, preventing excess tension and pedicle kinking and strangulation. The technique enables parallel external fixation between the legs for improved patient comfort between reconstruction stages.…”

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confidence: 99%