J Reconstr Microsurg 2004; 20(8): 599-603
DOI: 10.1055/s-2004-861517
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA.

Extended Trapezius Myocutaneous Free Flap for the Reconstruction of a Foot Defect Lacking Adjacent Recipient Vessels

Samir Mardini1 , Hung-Chi Chen1 , Christopher J. Salgado1 , Kuang-Te Chen2 , Feng-Chou Tsai2 , Guan-Ming Feng3
  • 1E-Da Hospital/I-Shou University
  • 2Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan
  • 3Department of Plastic Surgery, Kaohsiung Army General Hospital, Kaohsiung, Taiwan
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Publikationsdatum:
03. Januar 2005 (online)

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ABSTRACT

Foot reconstruction requires tissue that is durable and can withstand the extremes of pressure and stress. The trapezius myocutaneous flap has not been used previously as a free flap for foot reconstruction. In this report, the trapezius was used as an extended myocutaneous free flap for the reconstruction of a foot wound lacking adjacent and adequate recipient vessels. The extended trapezius flap may be one of the longest free flaps that can be harvested. The indications for the use of this flap are limited. In an extremity that lacks adequate recipient vessels adjacent to the defect, this flap can be extended such that more proximal vessels in the leg can be used as the recipient vessels without the need for vein grafts to bridge the distance. The donor-site morbidity of this flap is minimal when the superior fibers of the trapezius muscle and its innervation are preserved.

REFERENCES

Hung-Chi ChenM.D. 

Department of Plastic and Reconstructive Surgery, E-Da Hospital/I-Shou University

9 Alley 23, Lane 76, Ho-Ping East Road

Taipei, Taiwan