Free transfer of expanded parascapular, latissimus dorsi, and expander "capsule" flap for coverage of large lower-extremity soft-tissue defect |
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Authors: | Maghari A Forootan K S Fathi M Manafi A |
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Institution: | Plastic, Reconstructive, and Microsurgery Department, Hazrat Fatemeh Hospital, Iran University of Medical Sciences, Tehran. amanafi@yahoo.com |
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Abstract: | The coverage of large soft-tissue defects usually requires a large flap transfer, especially in a combination and expanded form. However, some large soft-tissue defects still cannot be covered by such flaps. In this article, we present a case of a civil war injury in a patient from Afghanistan who had severe trauma to the right knee, lower thigh, and upper leg and a marked soft-tissue defect. This large soft-tissue defect was covered with a large combined free flap of the expanded parascapular and latissimus dorsi muscle, including a large retrograde hinge flap of the tissue expander capsule and a complementary skin graft. The defect was covered completely, and the final result was excellent. |
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