In reconstructing patients with lower leg bone defects, vascularized bone transfers of the lateral border of the scapula are often underutilized. If the angular branch of the thoracodorsal artery is used to serve as a edicle, the grafts are reliable and versatile. Five patients have undergone osteocutaneous free scapular flap transfers to the lower extremities in whom we obtained extremely satisfactory results. These 5 surgical patients included one with pseudarthrosis and 4 with bone defects due to osteomyelitis. Two patients developed wound infections in the surgical dead space, however, they responded well to conservative treatments. We therefore believe that the osteocutaneous free scapular flap via the angular branch is extremely effective in the treatment of severe lower leg bone and soft tissue defects. We emphasized the fundamental points relating to the harvesting technique and the indications.
|Number of pages||8|
|Journal||Japanese Journal of Plastic and Reconstructive Surgery|
|Publication status||Published - 2001 Jan 1|
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