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Case Reports in Orthopedics
Volume 2012 (2012), Article ID 205029, 3 pages
Case Report

Cross-Leg as Salvage Procedure after Free Flaps Transfer Failure: A Case Report

Plastic Surgery Department, S.Orsola-Malpighi Hospital, 40138 Bologna, Italy

Received 30 November 2011; Accepted 1 February 2012

Academic Editors: M. Gotoh, Z. H. Khan, I. Madrazo, and S. Vogt

Copyright © 2012 F. Contedini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Posttraumatic wounds of the lower leg with soft tissue defects and exposed fractures are a reconstructive challenge due to the scarce availability of local tissues and recipient vessels. Even when a free tissue transfer can be performed the risk of failure remains considerable. When a free flap is contraindicated or after a free flap failure, the cross-leg flap is still nowadays a possible option. We report a case of a male with a severe posttraumatic wound of the lower leg with exposed tibia fracture firstly treated with two consecutive latissimus dorsi muscular free flaps, failed for vascular thrombosis; the coverage was then achieved with a cross-leg flap with acceptable results.