Can skin islands of free muscle flaps be used as pedicled perforator flaps years after free flap transfer?
Free muscle flaps are sometimes raised with skin islands which are vascularized with a perforator of the pedicle. In this case, the skin island used for monitorization of a free latissimus dorsi (LD) flap was raised as a pedicled perforator flap to cover a defect secondary to contracture release 1 year after free tissue transfer. We present a case of a 3-year-old child who presented with a left foot defect that was reconstructed with a musculocutaneous LD flap. One year after initial surgery, a contracture of the great toe was released and reconstructed with a perforator flap harvested from the original musculocutaneous flap.
KeywordsFree muscle flap Skin island Perforator flap
Conflicts of Interest