The Journal of Bone and Joint Surgery, Vol 71, Issue 7 988-994, Copyright © 1989 by Journal of Bone and Joint Surgery, Inc
A fasciocutaneous transposition flap for coverage of defects of the lower extremity
RB Louton, RA Harley and RC Hagerty
Division of Plastic Surgery, Medical University of South Carolina, Charleston 29203.
During a three-year period, eleven fasciocutaneous transposition flaps were
used in ten patients to cover a defect in the lower extremity that was due
to trauma or infection. The patients were subsequently evaluated with
respect to survival of the flap, sensation in the flap, healing of the
donor site, and postoperative morbidity. Two cases are presented for
illustration. Coverage with a fasciocutaneous transposition flap proved to
be safe and simple. This technique offers several advantages compared with
reconstruction using microvascular free muscle transfer, and it may be
preferable for many patients who have a defect distal to the knee.