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...
Main Authors: | , , |
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Format: | Article |
Language: | English |
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Elsevier
2023-12-01
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Series: | JPRAS Open |
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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. |
first_indexed | 2024-03-09T03:10:29Z |
format | Article |
id | doaj.art-f0d052f2a7c84c4aab8c9607ebcc314a |
institution | Directory Open Access Journal |
issn | 2352-5878 |
language | English |
last_indexed | 2024-03-09T03:10:29Z |
publishDate | 2023-12-01 |
publisher | Elsevier |
record_format | Article |
series | JPRAS Open |
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 |
work_keys_str_mv | AT mohamedsabry crosslegflapscaseseriesreviewandproposedclassification AT mohamedmohamedazmy crosslegflapscaseseriesreviewandproposedclassification AT abdoumohamedabdallahdarwish crosslegflapscaseseriesreviewandproposedclassification |