FOOT RECONSTRUCTION USING A SERRATUS ANTERIOR MUSCLE FLAP FROM THE SAME DONOR SITE AFTER FAILURE OF A THORACODORSAL ARTERY PERFORATOR FLAP
- Authors
- Kim, Sang Wha; Kwon, Young Hun; Kim, Jeong Tae; Kim, Youn Hwan
- Issue Date
- Feb-2014
- Publisher
- WILEY
- Citation
- MICROSURGERY, v.34, no.2, pp.153 - 156
- Indexed
- SCIE
SCOPUS
- Journal Title
- MICROSURGERY
- Volume
- 34
- Number
- 2
- Start Page
- 153
- End Page
- 156
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/160743
- DOI
- 10.1002/micr.22181
- ISSN
- 0738-1085
- Abstract
- The free flap failure rate for the lower extremities is high, which adversely affects limb salvage efforts. In this article, we report a case of failure of a thoracodorsal artery perforator flap, which was simultaneously reconstructed with a serratus anterior muscle flap from the same donor site. A 56-year-old male patient had infected wound for 3 months due to Achilles tendon rupture. We reconstructed the defect using a thoracodorsal artery perforator flap. However, 2 days after the operation, we found the congested flap. We were obliged to discard the whole flap and harvested a serratus anterior muscle flap from the same donor site. The patient's foot healed uneventfully. After flap failure, the use of a second free flap from the same donor site may be an effective and safe procedure in specific cases.
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