Reconstruction of the Lower Extremity Using Free Flaps
A 28-year-old man had a 10 cm × 15 cm soft tissue defect on the dorsum of the left foot caused by an electrical burn, and concurrently had bone exposure in the first and second toes. Following debridement, we performed arthrodesis of the first toe using a K-wire to prepare the recipient sites. The left scapular fascial free flap was elevated and then inset to the recipient sites. In this patient, an end-to-end anastomosis was performed between the circumflex scapular artery and the dorsalis pedis artery. In addition, two venae comitantes were anastomosed end-to-end to the great saphenous vein and the vena comitante of the dorsalis pedis artery. A split-thickness skin graft was performed over the flap. In the left scapular region, which served as the donor site, primary closure was performed ().