Methods: The reversed saphenous neurocutaneous vascular island flap and the reversed saphenous neurocutaneous vascular cross leg flap were designed respectively to repair 11 soft tissue defects around the heel, malleolus, achilles tendon and the low 1/2 part of anterior tibial.
Mehtods Firstly,to rebuild ankle-joint in 17 Pilon fracture patients with external fixation combining limited internal fixation such as Kirschner wire, steel plete and tensile force screw. Then,to repair soft tissue defect of these with selecting reversed saphenous neurocutaneous island flap,reversed sural neurocutaneous island flap or cross leg flap. Areas of these defect were 4 cm×6 cm-7 cm×17 cm,and sizes of these flaps were 5 cm×7 cm-8 cm×18 cm.
Methods One hundred thirty cases(141 feet ) of soft tissue defects in ankle were retrospectively analyzed. Five kinds of repair methods were used,which was free skin graft,regional flap graft,axial flap graft with blood vessel pedicle,cross-leg flap graft and free skin flaps.
Methods Twenty-tree patients with exposure wounds on the leg were selected for the treatment by using different kinds of the cross-leg flaps,including 5 in medial knee skin flap,12 in gastrocnemius myo-cutaneous flap and 6 in posterior calf fascial skin flap.
Taking into consideration the disadvantages and inconveniences of the cross-leg flap for the replacement of skin losses of the lower limbs, the author proposes a new type of flap, called the somersault flap.
Reconstruction of the foot and lower leg by a fasciocutaneous cross-leg flap after traumatic amputation and circumferential soft
The use of a fasciocutaneous cross-leg flap in two cases to cover severe soft-tissue injuries with circumferential degloving of the lower leg and foot is presented.
Repair of bilateral lower limb injuries using a free latissimus dorsi cross-leg flap
A cross-leg flap requires multiple stages and often involves immobilization in a cumbersome position.