Journal of plastic, reconstructive & aesthetic surgery : JPRAS
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J Plast Reconstr Aesthet Surg · Oct 2009
Case ReportsCross-leg fillet flap for the reconstruction of severe bilateral leg burns.
For a patient with fourth-degree burns involving both legs, we performed an amputation of the right leg at the thigh and covered the left knee joint with the posterior part of the right leg as a cross-leg fillet flap. It is reasonable to use tissue from one leg for reconstruction of the other leg in order to avoid bilateral leg amputation in the treatment of bilateral severe leg injury. We could transfer a sufficient amount of tissue by using this flap without donor site morbidity. ⋯ We cannot use this flap as a sensory flap because of pedicle cutting, but inappropriate sensation of the lower extremity is uncomfortable and reduces a patient's quality of life. The cross-leg fillet flap described here avoids donor site morbidity without the use of microsurgery. This flap will become a treatment option for severe bilateral leg injuries when one leg requires amputation.