Loose flaps

Loose/Free flaps are the domain of microsurgery.

• axial flaps: cutaneous, fasciocutaneous, muscular, musculocutaneous
• loose flap transfer : completely separated from the donor site and sewn with a vascular pedicle to the vessels around the defect → sewn to the destination
• vascular bundle of the flap: artery + 1 / 2 vein

Freely transferred skin flaps

• Inguinal Flap – aa. et vv. circumflexae ilium superficial.
• flap from the dorsum of the leg – aa. et vv. dors. pedis
• scapular lobe – aa. et vv. circumflexae scapulae
• lobe from the radial side of the forearm – aa. et vv. radiales + n. cutaneus antebrachii (preservation of sensitivity)

Freely transferred muscle and musculocutaneous flaps

• flap of the latissimi dorsi + serratus anterior muscle – aa. et vv. thoracodorsals
• flap of the recti abdominis muscle – aa. et vv. epigastricae inferiores prof.
• flap of the gracilis muscle – aa. et vv. curcumflexae femoris med.
• flap of the tensor fasciae latae muscle – aa. et vv. circumflexae femoris lat. + n. cutaneus femoris lat.

Freely transferred vascularized bone grafts

• vascularized fibula – aa. et vv. peroneae
• vascularized bone graft from the iliac blade – aa. et vv. circumflexae ilium prof.

links

Related articles

• Flaps
• Local flaps
• Distant flaps
• Facial reconstruction
• Reconstruction of the nose
• Facial soft tissue injuries
• Reconstruction of the upper lip
• Reconstruction of the lower lip
• Skin transplantation

References

• MEŠŘÁK, Jan, et al. Introduction to plastic surgery. 1st edition. Prague: Charles University in Prague - Karolinum Publishing House, 2005. 125 pp.  ISBN 80-246-1150-3 .