Reusing of the failing free flap "nutrient flap" as salvage procedure

Koji Takahashi, Ching Hua Hsieh, Seng Feng Jeng

Research output: Contribution to journalJournal Article peer-review

Abstract

26-year-old woman sustained a traffic accident injury to her left medial malleolus. A soft-Tissue defect 15 × 7 cm with exposure of bone was found and underwent free anterolateral thigh flap to cover it. On the second postoperative day, venous congestion occurred and re-exploration was performed. Re-Anastomosis of the vein was done after the thrombectomy; unfortunately, the flap did not recover. We found there was a good granulation bed under the failing flap and thinned the failing flap and used it as a full-Thickness skin graft. The graft survived completely; 9 months later, the graft site was softer and of good texture. The patient can wear the same size shoes without a debulking procedure. The free flap provided nutrients to the raw surface and nurtured a good granulation bed while it survived for 50 hours; as a result, it was used as "the nutrient flap." Reuse of the failing free flap as "the nutrient flap" is useful as an alternative backup procedure.

Original languageEnglish
Article numbere93
JournalPlastic and Reconstructive Surgery
Volume2
Issue number1
DOIs
StatePublished - 03 01 2014
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2014 The Authors.

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