Limb Salvage Using Combined Linking Perforator Free Flaps

Youn Hwan Kim, Gyeong Hoe Kim, Georgios Pafitanis, Rob Miller, Sang Wha Kim

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Microsurgical free tissue transfer is the most effective method for extensive reconstruction of lower limb defects. The purpose of this report is to describe our experience of using microsurgically fabricated combined linking perforator flaps for one-stage reconstruction of extensive lower limb defects. Between April 2008 and November 2016, 16 cases of extensive lower defects were reconstructed using combined linking flaps. Of the patients, 10 were males, and the mean age was 45.3 years (range = 20-76 years). The flaps used were thoracodorsal artery perforator flaps together with deep inferior epigastric artery perforator flaps or anterolateral thigh flaps. There were no total flap failures; however, 3 anterolateral thigh flaps were partially lost and required skin grafts. One wound disruption healed conservatively. Donor site healing was achieved primarily without any dehiscence. The follow-up period was 15.4 months (range = 8-24 months). The use of combined linking perforator flaps for lower limb defects is uncommon; however, in cases of extensive limb defects these flaps can salvage limbs by means of one-stage operations.

Original languageEnglish
Pages (from-to)44-50
Number of pages7
JournalInternational Journal of Lower Extremity Wounds
Issue number1
StatePublished - 2020 Mar 1


  • free tissue flaps
  • perforator flap
  • reconstructive procedure


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