Key points are not available for this paper at this time.
A retrospective review of 304 consecutive microvascular free flaps to the lower extremity was done to identify the patterns of usage, results, and problems. The most common indication (91%) was for the replacement of extensive tissue loss caused by motor-vehicle injuries. Most of the defects were below the mid-tibia (73%). The associated compound fractures were predominantly gradable as Gustilo type IIIb 2) salvage of many impending amputations; 3) better prosthetic stump reconstructions; 4) better esthetic results.
Khouri et al. (1989) studied this question.