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Case Reports
. 2022 Oct 11;2022(10):rjac460.
doi: 10.1093/jscr/rjac460. eCollection 2022 Oct.

Cross-leg flap in a burn patient: our experience from a tertiary center from Northern Tanzania

Jay Lodhia  1   2 , Mubashir Jusabani  3 , David Msuya  1   2
Affiliations
Case Reports

Cross-leg flap in a burn patient: our experience from a tertiary center from Northern Tanzania

Jay Lodhia et al. J Surg Case Rep. .

Abstract

Lower limb trauma with significant tissue loss poses a great challenge to the surgeons. Cross-leg flaps were first described in 1854 and are still used for limb-salvage surgeries in those not suitable for free tissue transfer or in resource-limited settings. Herein we present a case of a 16-year-old girl, otherwise well, who sustained burn injury to her right leg while cooking exposing the anterior aspect of her tibia. Limb-salvage surgeries were done including cross-leg 'fascio-cutaneous' flap with positive outcome. Herein, we share our experience showing an impactful and reliable option for limb salvage in resource-limited setting.

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Figures

Figure 1
Figure 1
Post amputation of big and second toes and post trephination, exposed tibia.
Figure 2
Figure 2
Diagrammatic representation (L-left, R-right, T-tibia, F-fibula, red-flap and blue-grafted area).
Figure 3
Figure 3
Post cross-leg flap with external-fixator for immobilization of both lower limbs.
Figure 4
Figure 4
(A) Flap edge necrosis (yellow arrow) (B) pus discharge (blue arrow).
Figure 5
Figure 5
Post flap release and grafting of donor site.
See this image and copyright information in PMC

References

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