Many flaps have been used to repair complex soft tissue defects of the leg. When the affected areas are relatively small and the local flaps are not suitable, microsurgical operation seems to be an excessive treatment and thus perforator flaps can be used. The authors present the combination of ipsilateral and contralateral perforator flaps for coverage of the traumatic lower extremity.
ChungKCShauverMJSaddawi-KonefkaDHaaseSC. A decision analysis of amputation versus reconstruction for severe open tibial fracture from the physician and patient perspectives. Ann Plast Surg. 2011;66:185-191.
GopalSMajumderSBatchelorAGKnightSLDe BoerPSmithRM. Fix and flap: the radical orthopaedic and plastic treatment of severe open fractures of the tibia. J Bone Joint Surg Br. 2000;82:959-966.
4.
AmaranteJCostaHReisJSoaresR. A new distally based fasciocutaneous flap of the leg. Br J Plast Surg. 1986;39:338-340.
5.
ZhangSLiJSongK. Clinical applications of the free posterior tibial flap. Chin Surg. 1983;21:743-745.
6.
FixRJVasconezLO. Fasciocutaneous flaps in reconstruction of the lower extremity. Clin Plast Surg. 1991;18:571-582.
7.
RadANSinghNKRossonGD. Peroneal artery perforator-based propeller flap reconstruction of the lateral distal lower extremity after tumor extirpation: case report and literature overview. Microsurgery. 2008;28:663-670.
8.
ParrettBMWinogradJMLinSJBorudLJTaghiniaALeeBT. The posterior tibial artery perforator flap: an alternative to free-flap closure in the comorbid patient. J Reconstr Microsurg. 2009;25:105-110.
9.
KeklikBBasaranKYazarS. Posterior tibial artery cross-leg perforator flap: a case report. Int J Low Extrem Wounds. 2012;11:77-79.
LiFZenBFanCChaiYRuanHCaiP. Distally based extended peroneal artery septocutaneous perforator cross-bridge flap without microvascular anastomoses for reconstruction of contralateral leg and foot soft tissue defects. J Reconstr Microsurg. 2010;26:243-249.
