Abstract
Since May 1981, we have performed 25 cases cf Peroneal vascular island flap, 9 cases of free peroneal flap, 8 cases of free scapular flap, 9 cases of free groin flap and 5 cases of free latissimus dorsi flap. Our first selection for treating wide skin defects of the leg and foot is the peroneal vascular island flap which covers the exposed bone, vessels and nerves. In regard to free flaps, our first choice is to use a scapular flap.The advantages of this flap are that the subcutaneous fat is thin, the branch of the circumflex scapular artery can be easily located, the vascular pedicle is long and vessel diameter is 1.2 to 2.0mm. In cases with wide skin defects from the knee to ankle joint we use a latissimus dorsi flap.
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