Foot reconstruction using a serratus anterior muscle flap from the same donor site after failure of a thoracodorsal artery perforator flap |
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Authors: | Sang Wha Kim M.D. Young Hun Kwon M.D. Jeong Tae Kim M.D. PHD. Youn Hwan Kim M.D. Ph.D. |
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Affiliation: | 1. Department of Plastic and Reconstructive Surgery, The Catholic University of Korea, , Seoul, Korea;2. Department of Plastic and Reconstructive Surgery, Hanyang University, College of Medicine, , Seoul, Korea |
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Abstract: | The free flap failure rate for the lower extremities is high, which adversely affects limb salvage efforts. In this article, we report a case of failure of a thoracodorsal artery perforator flap, which was simultaneously reconstructed with a serratus anterior muscle flap from the same donor site. A 56‐year‐old male patient had infected wound for 3 months due to Achilles tendon rupture. We reconstructed the defect using a thoracodorsal artery perforator flap. However, 2 days after the operation, we found the congested flap. We were obliged to discard the whole flap and harvested a serratus anterior muscle flap from the same donor site. The patient's foot healed uneventfully. After flap failure, the use of a second free flap from the same donor site may be an effective and safe procedure in specific cases. © 2013 Wiley Periodicals, Inc. Microsurgery 34:153–156, 2014. |
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