Re-Raising Muscle Flaps: A Randomised Controlled Animal Study

In the experience of our centre, 33% of reconstructed compound lower limb injuries will need orthopaedic revision [1]. There are numerous methods through which a flap may be re-raised and historically the approach of choice has been based on the principal of protecting the vascular pedicle, rather than the inset. Our aim was to determine whether a marginal versus a split approach to re-raising inferred a higher risk of flap necrosis and whether more attention should be paid to protecting the inset of the flap particularly at the distal portion.

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