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Lower limb injuries lead to significant morbidity and may affect the lifestyle of the patient. These injuries may be severe and extensive that necessitates free tissue transfer. Free tissue transfer is commonly indicated in limbsparing surgery for leg reconstruction but is known to have a higher failure rate than transfers to the other body regions. The ideal method for arterial anastomosis for leg free tissue transfer, end-to-end versus end-to-side anastomosis, has been evaluated. There was no significant difference in success rates. Flow-through anastomosis was introduced by Soutar et al. in 1983 as a third method and its clinical application has been expanding in free tissue transfer for leg reconstruction. Several hemodynamic advantages of flow-through anastomosis resulting in revascularization of the distal limb and flap in one stage. The latissimus dorsi (LD) muscle flap is a workhorse flap and has many advantages for soft-tissue reconstruction in lower limb reconstruction. Archives of Hand and Microsurgery

Free Latismus Dorsi Muscle Flap with a Flow-Through Technique for Lower Limb Salvage