Eur J Orthop Surg Traumatol 2019 Feb 16;29(2):285-293. Epub 2019 Jan 16.
Department of Plastic Surgery, University of Tennessee Health Science Center (UTHSC), 1068 Cresthaven Road Suite 500, Memphis, TN, 38119, USA.
While free tissue transfer has long been established as a reliable microsurgical technique in the adult population, its application in pediatric reconstruction is a relatively recent phenomenon. Despite initial concerns regarding minute vessel diameters, increased propensity for vasospasm, and limited tissue availability, pediatric free tissue transfer is now a widely used technique that has demonstrated an acceptable level of donor and recipient site morbidity in children. Five flaps commonly used in the reconstruction of lower extremity trauma are discussed in this paper: the latissimus dorsi, rectus abdominis, anterolateral thigh, gracilis, and the subscapular and parascapular flaps. Read More