European Journal of Plastic Surgery

, Volume 35, Issue 11, pp 841–843 | Cite as

Can skin islands of free muscle flaps be used as pedicled perforator flaps years after free flap transfer?

  • Cigdem Unal
  • Cenk Sen
  • Huseyin Gercek
Case Report


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.


Free muscle flap Skin island Perforator flap 


Conflicts of Interest



  1. 1.
    Machens HG, Pallua N, Pasel J, Mailaender P, Liebau J, Berger A (1998) Persistence of blood flow up to 10 years after free musculocutaneous tissue transfer. Plast Reconstr Surg 101:719–726PubMedCrossRefGoogle Scholar
  2. 2.
    Fisher J, Wood MB (1984) Late necrosis of a latissimus dorsi free flap: case report. Plast Reconstr Surg 74:274–281PubMedCrossRefGoogle Scholar
  3. 3.
    Sadove RC, Kanter MJ (1993) Absent neovascularisation in a lower extremity free flap: case report. J Reconstr Microsurg 9:5–9PubMedCrossRefGoogle Scholar
  4. 4.
    Angrigiani C, Grili D, Siebert J (1995) Latissimus dorsi musculocutaneous flap without muscle. Plast Reconstr Surg 96:1608–1614PubMedCrossRefGoogle Scholar
  5. 5.
    Cavadas PC, Teran-Saavedra PP (2002) Combined latissimus dorsi-thoracodorsal artery perforator free flap: the “razor flap”. J Reconstr Microsurg 18:29–31PubMedCrossRefGoogle Scholar
  6. 6.
    Van Landuyt K, Hamdi M, Blondeel P, Monstrey S (2005) The compound thoracodorsal perforator flap in the treatment of combined soft tissue defects of sole and dorsum of the foot. Br J Plast Surg 58:371–378PubMedCrossRefGoogle Scholar
  7. 7.
    Rainer C, Meirer R, Gardetto A, Schwabegger AH, Ninkovic MM (2003) Perforator-pedicled skin ısland flap for coverage of microvascular anastomoses in myocutaneous flaps in the lower extremity. Plast Reconstr Surg 112:1362–1367PubMedCrossRefGoogle Scholar
  8. 8.
    Topalan M, Guven E, Demirtas Y (2010) Backup perforator flap derived from a previously transferred musculocutaneous free flap. Microsurgery 30:457–461PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Plastic, Reconstructive and Aesthetic Surgery Department, Faculty of MedicineKocaeli UniversityUmuttepeTurkey
  2. 2.Plastic, Reconstructive and Aesthetic Surgery ClinicIstanbul Memorial Okmeydani HospitalOkmeydanıTurkey

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