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H. Chen, T. A. El-Gammal, F. Wei, H. Chen, M. S. Noordhoff and Y. Tang, “Cross-Leg Free Flaps for Difficult Cases of Leg Defects: Indications, Pitfalls, and Long-Term Results,” Trauma, Vol. 43, No. 3, 1997, pp. 486-491. doi:10.1097/00005373-199709000-00016

has been cited by the following article:

• TITLE: Cross-Leg Flap: Its Reliability and Outcome

  AUTHORS: Mohamed A. Shoeib

  KEYWORDS: Cross-Leg; Reconstruction; Trauma; Separation

  JOURNAL NAME: Modern Plastic Surgery, Vol.3 No.1, January 23, 2013

  ABSTRACT: Background: Cross-leg flaps for lower limb wound coverage have been replaced by free tissue transfer in the last two decades. However, there are certain difficult situations where the free flap cannot be employed and alternative methods are needed. We describe our experience with cross-leg flap in 135 patients for the reconstruction of difficult leg defects in which no possible other options available for reconstruction of the defect. Materials and Methods: This study was carried upon one hundred thirty five patients suffering from leg and-or foot soft tissue injury. This study focused on the cases that need coverage of bone, tendons, and neurovascular bundle, while those that managed by local flap or split thickness graft were excluded. Results: All patients ambulate well after 5 - 10 days, except for 14 patients who had associated orthopedic problems as external fixation, or other fractures. Cosmetic outcome were excellent in all patients, but 3 patient’s mothers complaint of bulky flap, and for them liposuction was done with postoperative satisfaction. 2 cases complaint of early donnar sit graft, but later on they were satisfied. Conclusion: Cross-leg flap offers the possibil- ity of salvaging limbs that are otherwise nonreconstructable.