ABSTRACT
Double free-flaps are necessary when tissue cover cannot be sufficed with a single
flap. The other factors to be considered when using two free flaps for resurfacing
of distal limb defects are the availability of more than one recipient vessel, the
risk of distal limb ischaemia and the donor site morbidity of double flap harvest.
If these factors are adequately addressed, double free-flaps can be safely executed
for resurfacing distal limb defects with minimal morbidity. We report the simultaneous
harvest and transfer of the anterolateral and anteromedial thigh flaps inset and vascularised
as double free-flaps to resurface a large bimalleolar defect in a 14-year-old boy
with no additional morbidity as compared to that of a single free tissue transfer.
KEY WORDS
Bimalleolar defect - double free-flap - distal limb defects
