Cross-leg flap after free flap failure: a case report

Authors

  • Arsenio F. A. Azcue Department of Plastic and Reconstructive Surgery, Hospital General de Mexico, Mexico-City, Mexico
  • Jorge L. L. Silva Department of Plastic and Reconstructive Surgery, Hospital General de Mexico, Mexico-City, Mexico
  • Ricardo F. Riera Department of Plastic and Reconstructive Surgery, Hospital General de Mexico, Mexico-City, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20240544

Keywords:

Cross-leg flap, Random flap, Free flap

Abstract

The cross-leg flap is a technique that has been used for a long time to address defects in the distal third of the leg. Currently, the gold standard for these defects is free flap reconstruction. However, the success of microsurgery is not always guaranteed due to a wide range of extrinsic and intrinsic factors. In this study, we present the use of a cross-leg flap as an alternative in the case of free flap failure, performed in the plastic and reconstructive surgery department of the General Hospital of Mexico. The cross-leg flap represents a reliable, simple, and effective alternative when free flaps are not suitable or as a rescue in case of their failure, either due to extrinsic or patient-related causes.

 

References

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Agarwal P, Raza H. Cross-leg flap: Its role in limb salvage. Indian J Orthop. 2008;42(4):439-43.

Contedini F, Negosanti L, Fabbri E, Pinto V, Tavaniello B, Sgarzani R, et al. Cross-Leg as Salvage Procedure after Free Flaps Transfer Failure: A Case Report. Case Rep Orthop. 2012;205029.

Liang W, Tan BK. Use of the cross-leg distally based sural artery flap for the reconstruction of complex lower extremity defects. Arch Plast Surg. 2019;46(3):255-61.

Sabry M, Azmy MM, Darwish AMAA. Cross-leg flaps: Case series, review, and proposed classification. JPRAS Open. 2023;38:249-60.

Mahajan RK, Srinivasan K, Ghildiyal H, Singh M, Jain A, Kapadia T, Tambotra A. Review of Cross-Leg Flaps in Reconstruction of Posttraumatic Lower Extremity Wounds in a Microsurgical Unit. Indian J Plast Surg. 2019;52(1):117-24.

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Published

2024-02-28

How to Cite

Azcue, A. F. A., Silva, J. L. L., & Riera , R. F. (2024). Cross-leg flap after free flap failure: a case report. International Journal of Research in Medical Sciences, 12(3), 943–945. https://doi.org/10.18203/2320-6012.ijrms20240544

Issue

Section

Case Reports