Eur J Plast Surg (2012) 35:487–488 DOI 10.1007/s00238-012-0701-7 LETTER TO THE EDITOR W-plasty design of a bipedicled flap in lower extremity reconstruction Fatih Tekin & Ömer Faruk Taner & Candemir Ceran & Birol Civelek Received: 7 November 2011 /Accepted: 25 January 2012 /Published online: 10 March 2012 Springer-Verlag 2012 Sir, In our case, we designed a bipedicle flap where no skin Bipedicle flaps have been successfully used for wound graft was used for donor site closure. We used a w-plasty closure in a variety of anatomical sites like cleft palate, design for a bipedicled flap representing a similar pattern as lower eyelid and lower extremity defects. Bipedicle flaps hatchet flaps [6, 7] in a patient with a pretibial defect on the can be designed mucoperiosteal , musculocutaneous, fas- right side. A 58-year-old female had a right knee total ciocutaneous, cutaneous, musculofasciocutaneous , sub- revision prothesis surgery. Wound dehiscence occured on cutaneous  and V-Y modification [4, 5]. incision site and tibial bone was exposed. Under general A soft tissue defect of the lower extremity, with the expo- anaesthesia, the wound was widely debrided. The medial sure of tendon or bone, represents a challenging reconstructive part of defect with exposed
European Journal of Plastic Surgery – Springer Journals
Published: Jun 1, 2012
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