Cross-leg pedicled free scapular flap for neuropathic foot ulcer: Case report

A case is reported of the treatment of a chronic neuropathic ulcer on the l ateral aspect of the foot with osteomyelitis. Extensive debridement and fre e scapular flap transfer were performed. Because the leg had only one paten t vessel, the anterior tibial artery, which was unsuitable for anastomosis, the vascular anastomosis of the flap was performed to the posterior tibial vessel of the contralateral leg, which was used as a termporary carrier. T he vascular pedicle was divided after 3 weeks, and the flap survived comple tely. This case report extends the indications of the cross-leg free flap f or complex defects on a single-vessel foot.