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  • Title: Reconstruction of a large upper tibial wound extending to the knee with a free latissimus dorsi flap: Optimizing the outcomes.
    Author: Liau JE, Pu LL.
    Journal: Microsurgery; 2007; 27(6):548-52. PubMed ID: 17828785.
    Abstract:
    Despite recent advances in free tissue transfer, management of a large upper tibial wound extending to the knee can be challenging for reconstructive surgeons. In this report, we present two cases where a free latissimus dorsi flap was used for successful soft-tissue coverage of the wound for limb salvage with optimal reconstructive outcomes. Our unique recipient vessel selection allows more effective free-tissue transfer without using a vein graft. Our preferred flap inset technique with multiple interrupted horizontal mattress sutures over a closed suction drain leads to an improvement of the initial contour of soft-tissue coverage that may contribute to the final optimized outcome in the lower-extremity reconstruction with or without a further debulking procedure.
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