CC BY-NC-ND 4.0 · Indian J Plast Surg 2005; 38(01): 18-21
DOI: 10.1055/s-0039-1699064
Original Article
Association of Plastic Surgeons of India

Distal perforator based cross leg flaps for leg and foot defects

V Bhattacharya
Department of Plastic Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
,
Ganji Raveendra Reddy
Department of Plastic Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
› Author Affiliations
Further Information

Publication History

Publication Date:
15 January 2020 (online)

ABSTRACT

The cross leg fasciocutaneous flaps are less frequently indicated for distal leg and foot defects due to the availability of other alternative options. However they still remain one of the more realistic options for the surgeon in situations like unsuccessful attempt of free flaps, non-availability of ipsilateral proximal calf tissue, damaged distal perforators following trauma, burns, radiation etc., and inadequate reach beyond mid sole. In the present article we share our experience emphasizing the significance and use, with redefined indications and surgical technique of cross leg retrograde fasciocutaneous flaps for various distal leg and foot defects. We are of the opinion that these flaps are still useful as they continue to prove to be the flap of choice in demanding situations.

 
  • 1 Barclay TL, Cardos E, Sharpe DT. Cross leg fasciocutaneous flaps. Plast Reconstr Surg 1983; 72: 847
  • 2 Tolhurst DE, Haeseker B, Zeeman RJ. The development of fasciocutaneous flap and its application. Plast Reconstr Surg 1983; 71: 597
  • 3 Mathes S, Nahai F. editors muscleClinical application for muscle and musculocutaneous flaps. St. Louis: Mosby; 1982
  • 4 May JW, Gallico GG, Lukash FN. Microvascular transfer of free tissue for closure of bone wounds of the distal lower extremity. N Engl J Med 1982; 306: 253
  • 55 Wee JTK. Reconstruction of the lower leg and foot with the reverse pedicled anterior tibial flap:preliminary report of a new fasciocutaneous flap. Br J Plast Surg 1986; 39: 327
  • 6 Yoshimura M, Imura S, Shimamura K, Yamuchi S, Nomura S. Peroneal flap for reconstruction in the extremity. Plast Reconstr Surg 1984; 74: 402
  • 7 Morris AM, Buchan AC. The place of the cross leg flap in reconstructive surgery of the lower leg and foot:a review of 165 cases. Br J Plast Surg 1978; 31: 138
  • 8 Taylor GI, Doyle M, McCarten G. The Doppler probe for planning flaps: Anatomical study and clinical applications. Br J Plast Surg 1990; 43: 1-16
  • 9 Carriquiry C, Costa A, Vasconez LO. An anatomic study of the septocutaneous vessels of the leg. Plast Reconstr Surg 1985; 76: 354
  • 10 Haertsch PA. The blood supply to the skin of leg.A Post mortem investigation. Br J Plast Surg 1981; 34: 470
  • 11 Jayes PH. Cross leg flaps: A review of sixty cases. Br J Plast Surg 1950; 3: 1
  • 12 Ponten B. The fasciocutaneous flap. Its use in soft tissue defects of lower leg. Br J Plast Surg 1981; 34: 215
  • 13 Carriquiry C, Costa A, Vasconez LO. An anatomic study of the septocutaneous vessels of the leg. Plast Reconstr Surg 1985; 76: 354
  • 14 Bhattacharya V.. Fasciocutaneous flaps in Plastic and Reconstructive surgery: Current trends- proceedings of CME programme at National Conference of APSI. Calcutta: 1998: p36-40
  • 15 Bhattacharya V, Watts RK. Ipsilateral fasciocutaneous flap for leg and foot defects. Indian J Plast Surg 2003; 36: 30-5