Abstract
In a retrospective review 32 consecutive cases requiring flaps in the lower limb were studied. A changing pattern of repair methods was seen with an increasing use of fascio-cutaneous flaps. No major complications were encountered when standard or fascio-cutaneous cross leg flaps were required and these were overall the most reliable of all flaps used. Only a 50% success rate was obtained for free flaps, but this may reflect inexperience, low number of cases and the site of the injury as well as damaged recipient vessels in the proximity of the anastomosis. The majority of conditions requiring flap repair were the result of preventable trauma to young persons, and were often associated with motor cycles.
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