J Reconstr Microsurg 2005; 21(7): 441-445
DOI: 10.1055/s-2005-918896
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Combined Thigh Flap for Closure of Massive Trunk Defect

Jonathan W. Jones1 , Robert M. Barone2 , Robert M. Adamson3
  • 1Plastic Surgery, Sharp Memorial Hospital, San Diego, CA
  • 2Surgical Oncology, Sharp Memorial Hospital, San Diego, CA
  • 3Cardiothoracic Surgery Sections, Department of Surgery, Sharp Memorial Hospital, San Diego, CA
Further Information

Publication History

Accepted: May 28, 2005

Publication Date:
30 September 2005 (online)

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ABSTRACT

A massive trunk defect resulting from resection of recurrent sarcoma was reconstructed with a combined free flap incorporating medial, anterior, and lateral thigh tissues. This flap included the tensor fasciae latae, lateral thigh perforator, and rectus femoris, all based on the lateral femoral circumflex pedicle. A saphenous vein conduit enabled this flap to replace resected tissues at the lower thorax. Combining the three different commonly used thigh flaps on a single large pedicle enabled transfer of a 47.5 × 33.5-cm mega-flap.

REFERENCES

Jonathan W JonesM.D. 

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