One of the significant reconstructive challenges is closure of large soft t
issue defects of the lower extremity. A patient with a large traumatic defe
ct in the lower extremity was treated with a cross-leg free latissimus dors
i myocutaneous flap. The size of the flap was 32x12 cm. The pedicle was div
ided 22 days after the initial operation. The result was satisfactory after
a 2-year follow-up. This technique allows the transfer of large flaps to c
over compromised wounds, with the advantage of using suitable recipient ves
sels.