Cross-leg flaps: Case series, review, and proposed classification

Background: Cross-leg (CL) flap procedures have a long history in reconstructive surgery, having been described for the first time in 1854. The application of these flaps can potentially solve many reconstructive issues with satisfactory outcomes. Patients and methods: During our research into the h...

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Main Authors: Mohamed Sabry, Mohamed Mohamed Azmy, Abdou Mohamed Abd Allah Darwish
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:JPRAS Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352587823000554
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author Mohamed Sabry
Mohamed Mohamed Azmy
Abdou Mohamed Abd Allah Darwish
author_facet Mohamed Sabry
Mohamed Mohamed Azmy
Abdou Mohamed Abd Allah Darwish
author_sort Mohamed Sabry
collection DOAJ
description Background: Cross-leg (CL) flap procedures have a long history in reconstructive surgery, having been described for the first time in 1854. The application of these flaps can potentially solve many reconstructive issues with satisfactory outcomes. Patients and methods: During our research into the history and development of CL flaps, we identified a variety of flaps for which a classification system can be proposed based on blood supply and flap modifications. In this study, 10 patients with different complaints were managed using posterior tibial artery (PTA) perforator CL flap and superiorly based sural CL flap with satisfactory outcomes. Results: All flaps survived and healed smoothly; consequently, the flaps provided stable coverage, and the donor sites were reconstructed using skin grafts, which provided satisfactory results to the patients and/or their guardians. Conclusion: To our knowledge, this is the first study to propose a simple classification and group different types of flaps mentioned in the literature under one category. CL flaps are a common reconstructive option for patients with injuries that limit their mobility.
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spelling doaj.art-f0d052f2a7c84c4aab8c9607ebcc314a2023-12-04T05:23:08ZengElsevierJPRAS Open2352-58782023-12-0138249260Cross-leg flaps: Case series, review, and proposed classificationMohamed Sabry0Mohamed Mohamed Azmy1Abdou Mohamed Abd Allah Darwish2Plastic and Reconstructive Surgery Department, Minia University Hospital, Minia, Egypt; Corresponding author.Orthopedic Surgery Department. Minia University Hospital, Minia, EgyptPlastic and Reconstructive Surgery Department, Minia University Hospital, Minia, EgyptBackground: Cross-leg (CL) flap procedures have a long history in reconstructive surgery, having been described for the first time in 1854. The application of these flaps can potentially solve many reconstructive issues with satisfactory outcomes. Patients and methods: During our research into the history and development of CL flaps, we identified a variety of flaps for which a classification system can be proposed based on blood supply and flap modifications. In this study, 10 patients with different complaints were managed using posterior tibial artery (PTA) perforator CL flap and superiorly based sural CL flap with satisfactory outcomes. Results: All flaps survived and healed smoothly; consequently, the flaps provided stable coverage, and the donor sites were reconstructed using skin grafts, which provided satisfactory results to the patients and/or their guardians. Conclusion: To our knowledge, this is the first study to propose a simple classification and group different types of flaps mentioned in the literature under one category. CL flaps are a common reconstructive option for patients with injuries that limit their mobility.http://www.sciencedirect.com/science/article/pii/S2352587823000554Cross-leg flapReconstructionClassificationPerforator flapAxial flapFree flap
spellingShingle Mohamed Sabry
Mohamed Mohamed Azmy
Abdou Mohamed Abd Allah Darwish
Cross-leg flaps: Case series, review, and proposed classification
JPRAS Open
Cross-leg flap
Reconstruction
Classification
Perforator flap
Axial flap
Free flap
title Cross-leg flaps: Case series, review, and proposed classification
title_full Cross-leg flaps: Case series, review, and proposed classification
title_fullStr Cross-leg flaps: Case series, review, and proposed classification
title_full_unstemmed Cross-leg flaps: Case series, review, and proposed classification
title_short Cross-leg flaps: Case series, review, and proposed classification
title_sort cross leg flaps case series review and proposed classification
topic Cross-leg flap
Reconstruction
Classification
Perforator flap
Axial flap
Free flap
url http://www.sciencedirect.com/science/article/pii/S2352587823000554
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AT mohamedmohamedazmy crosslegflapscaseseriesreviewandproposedclassification
AT abdoumohamedabdallahdarwish crosslegflapscaseseriesreviewandproposedclassification