Double skin perforator flaps for aesthetic resurfacing of extensive limb defects

Abstract

Microsurgical tissue transfer is regarded as an ideal method for complex and large defects, especially in head and neck reconstruction, which requires multiple components such as bone and soft tissues. These situations often require a double free flap technique using an anterolateral thigh flap along with a fibular flap or radial forearm flap plus an anterolateral thigh flap for 3 dimensional reconstruction.1–3 However these effective methodologies are not popular especially for extremity reconstruction, and there is a lack of knowledge of the use of double skin flaps for extensive defects of the extremities.