Popliteal-based filleted lower leg musculocutaneous free-flap coverage of a hemipelvectomy defect

Michael L. Workman, Douglas F. Bailey, Bruce L. Cunningham

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


A 33-year-old man suffered from locally recurrent malignant fibrous histiocytoma of his left thigh unresponsive to previous excision, radiation therapy, chemotherapy, and hyperthermic treatment. He underwent radical hemipelvectomy for cure. Because of extensive tumor involvement, a free flap consisting of his distal left leg based on the popliteal artery was utilized to close the defect. Both the tibia and fibula were removed from their periosteal sheaths, and the foot was excised from the flap. The popliteal artery and vein were anastomosed to the iliac vessels. The flap survived, and the patient was discharged home after physical rehabilitation. We suggest that uninvolved portions of the distal leg may be utilized as a free flap to successfully close hemipelvectomy defects in selected patients when conventional pedicle flaps are unavailable.

Original languageEnglish (US)
Pages (from-to)326-329
Number of pages4
JournalPlastic and reconstructive surgery
Issue number2
StatePublished - Feb 1992


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