title: Free transfer of expanded parascapular, latissimus dorsi, and expander "capsule" flap for coverage of large lower-extremity soft-tissue defect.
abstract: The coverage of large soft-tissue defects usually requires a large flap transfer, especially in a combination and expanded form. However, some large soft-tissue defects still cannot be covered by such flaps. In this article, we present a case of a civil war injury in a patient from Afghanistan who had severe trauma to the right knee, lower thigh, and upper leg and a marked soft-tissue defect. This large soft-tissue defect was covered with a large combined free flap of the expanded parascapular and latissimus dorsi muscle, including a large retrograde hinge flap of the tissue expander capsule and a complementary skin graft. The defect was covered completely, and the final result was excellent.
authors.affiliation: Plastic, Reconstructive, and Microsurgery Department, Hazrat Fatemeh Hospital, Iran University of Medical Sciences, Tehran. amanafi@yahoo.com
authors.forename: A
authors.initials: A
authors.lastname: Maghari
authors.forename: K S
authors.initials: KS
authors.lastname: Forootan
authors.forename: M
authors.initials: M
authors.lastname: Fathi
authors.forename: A
authors.initials: A
authors.lastname: Manafi
mesh_terms: D000328:Adult; D003286:Contracture / Q000601:surgery; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods; D012086:Reoperation; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps; D015626:Tissue Expansion