Covering the elbow soft tissue defects is a difficult task for the plastic surgeon. Because of, the important anatomical structures situated superficially and the high tendency for stiffness of the elbow, the reconstructive method must be chosen carefully. Traditionally the free flaps were the choice method for elbow reconstruction. In our department, we use the perforator pedicled flaps for co...

Objective Pedicled abdominal and inguinal flaps have been used for hand forearm reconstruction years. Nowadays they are applied as a safe option when free flap is not suitable. In this study, we aimed to present cases in which soft tissue defects on were closed with pedicled groin flaps, the light of literature. Materials methods Thirty-five patients whose treated department Plastic, Reconstruc...

The groin flap is a reliable and well-established reconstructive option for pedicled or free-tissue transfer. Concern regarding its variable vascular origin and caliber has limited its use. To overcome this, a simplified guideline based on the transverse diameter of the patient's index and long fingers at the distal interphalangeal level has been developed. Thus "rule of two finger widths" posi...

OBJECTIVE Severe bone loss associated with failed revision total knee arthroplasty is a challenging scenario. The pedicled fibular flap is a method to obtain vascularized bone for use in knee arthrodesis after failure of a total knee arthroplasty, with substantial loss of bone. METHODS We report 2 successful knee arthrodeses using this method in patients with infected, failed multiply revised...

BACKGROUND The purpose of this study was to determine the causes of head and neck free flap loss and to evaluate outcomes after subsequent microvascular and non-microvascular reconstruction. METHODS Patients who experienced free flap loss between 2000 and 2012 were reviewed. RESULTS There were 40 flap losses out of 3090 free flaps (1.3%). Twenty-eight patients underwent subsequent free flap...

Closure of huge palatal fistula surrounded by fully erupted permanent dentition in the adult patients with cleft is a challenge. Posteriorly based buccinator myomucosal flap is a neurovascular pedicled flap, with inherent nature of thin thickness, saliva secretion, and axial pattern blood supply. Vicinity of donor site to the palate and low donor-site morbidity are the other advantages. It is a...

We treated 11 patients with chronic osteomyelitis of the tibia or the foot by local excision and transfer of a peroneal myocutaneous island flap. This flap, pedicled proximally or distally on the peroneal artery and veins, provides viable muscle to fill the dead space in bone and skin to close the defect. Ten patients reviewed more than three years after operation were all free of drainage with...

Sarcomas of the gluteal region often result in sizable defects following resection that are challenging to reconstruct due to their location, particularly in patients who have received radiation therapy. Reconstruction of these defects has been seldom discussed in the literature. We present two patients with large radiated gluteal defects following sarcoma resection, of which one patient receiv...

BACKGROUND The purpose of this article is to describe the indications, operative technique, outcomes, and systematic review of the literature on the reconstruction of patients with end-stage pressure ulcers using a fillet flap technique. In this technique, the femur, tibia, and fibula are removed from the thigh and leg, and the soft tissue is used as a pedicled, or free, myocutaneous flap for r...

This case report focuses on a 17-year-old polytrauma patient who suffered septic wound infection after an open reduction and internal fixation (ORIF) soft tissue reconstruction with pedicled flap, which led to substantial bone defect of the lower leg. After thorough antibiotic treatment ensuring non-septic wound, was reconstructed using contralateral free fibula flap designed as flow through in...