This study is an analysis of the first 100 consecutive free flaps performed by the author. During a 61 month period, 100 free flaps were performed in 90 patients. The overall flap success rate was 93%. A review of the indications, donor sites, recipient sites, outcomes and complications is presented. A comparison is made between the first 50 free flaps and the second 50 free flaps to examine evolving practice patterns. Techniques that were of value are discussed.
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