Latissimus dorsi myocutaneous free flap vascularised by an extra-anatomic graft in the lower limb following traumatic disruption of the popliteal artery.
A case is presented in which the thoracodorsal artery of a latissimus dorsi free flap was anastomosed to an autogenous reverse saphenous bypass graft. The bypass graft was used to revascularise a leg with traumatic disruption of the popliteal artery and an open comminuted fracture of the distal tibia and fibula with extensive soft tissue loss. At 2-year follow up, isotope scans showed patency of the extra-anatomic graft and a good flow into the thoracodorsal artery.
D000328:Adult; D005263:Femoral Artery / Q000601:surgery; D005269:Femur / Q000098:blood supply; D005360:Fibula / Q000293:injuries*; D006801:Humans; D008297:Male; D011150:Popliteal Artery / Q000293:injuries*; D012501:Saphenous Vein / Q000637:transplantation; D013518:Surgery, Plastic; D013524:Surgical Flaps; D013978:Tibial Fractures / Q000601:surgery*