title: Latissimus dorsi free flap for sacral wound closure: the world's longest vein grafts for free tissue transfer.
abstract: In 1983, Salibian et al. reported the use of a two-stage latissimus dorsi free tissue transfer to cover a sacral radiation ulcer using 28-centimeter thoracodorsal interposition vein grafts. In 1985, Nahai and Hagerty reported a similar case in which the procedure was performed in one stage with 25-centimeter vein grafts. We present a case in which a large sacral osteoradionecrosis ulcer is closed using this one-stage technique with 46-centimeter vein grafts, the longest ever reported for free tissue transfer.
authors.affiliation: Division of Plastic and Reconstructive Surgery, University of Massachusetts Medical Center, Worcester 01655, USA.
authors.forename: G M
authors.initials: GM
authors.lastname: Fudem
authors.forename: K R
authors.initials: KR
authors.lastname: Marble
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D010025:Osteoradionecrosis / Q000601:surgery*; D012447:Sacrum / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation*; D013524:Surgical Flaps