Reliability and Safety of Cross-Leg Free Latissmus Dorsi Muscle Flap in ‎Reconstruction of Mutilating Leg Injuries using End-to-side ‎Anastomosis

Background Free tissue transfer is considered the gold standard option for reconstruction of distal leg defects. using recipient vessels in contralateral (cross-leg bridge) a potential to supply flap if there are no suitable injured Most studies described this technique end-to-end anastomosis which sacrifices main vessel uninjured leg. This study evaluated use cross-leg free latissimus dorsi muscle defects single-vessel legs, end-to-side without sacrificing any Methods retrospective that included twenty-two consecutive patients with soft over lower All reconstructed legs had single artery as documented by CT angiography. underwent latissmus posterior tibial Results The age at surgery ranged from 12 31 years and mean defect size was 86 cm2. Complete survival occurred 20 cases (91%). One patient total ischemia. Another Conclusions Cross-leg reliable safe salvage mutilating injuries, especially injuries artery. As far preservation donor limb circulation concerned, reasonable it maintains continuity