CC BY 4.0 · Arch Plast Surg 2020; 47(06): V1
DOI: 10.1055/s-0043-1777135
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Commentary: Recycling of Flap Pedicle in Complex Lower Extremity Reconstruction: A Proof of Free Muscle Flap Neovascularization

Joon Pio Hong

Recycling of flap pedicle in complex lower extremity reconstruction: A proof of free muscle flap neovascularization

This article portrays the authors' clinical experience of a complex case of lower extremity reconstruction using a recycled pedicle from 10 years old free latissimus dorsi musculocutaneous flap to supply a new free anterolateral thigh flap for proximal tibia wound defect reconstruction. It provides clinical evidence that muscle neovascularization occurs and supports the dogma peripheral tissue neovascularization. This case stipulates that recycling of pedicle is feasible, when used with appropriate strategy and safety and also provides evidence for the long-term survival of greater saphenous vein grafts in lower extremity reconstruction.


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Publication History

Article published online:
22 February 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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