Free thoracodorsal artery perforator flap in extremity reconstruction: 12 cases  S.L Chen, T.M Chen, H.J Wang  British Journal of Plastic Surgery  Volume 57, Issue 6, Pages 525-530 (September 2004) DOI: 10.1016/j.bjps.2004.04.018

Figure 1 (A) A 21-year-old man experienced a painful scar with flexion contracture over the volar aspect of the right elbow. (B) Following scar excision, a free thoracodorsal artery perforator flap, 13×8 cm in size, was raised and based upon a single perforator. (C) The flap survived well. Full extension and good contour of the right elbow were obtained. (D) The donor region was closed primarily and hided well in clothes. British Journal of Plastic Surgery 2004 57, 525-530DOI: (10.1016/j.bjps.2004.04.018)

Figure 2 (A) A 50-year-old man sustained a painful scar with underlying flexor tendons adhesion on the right palm. (B) Following scar excision and tenolysis the flexor tendons, a thoracodorsal artery perforator flap was designed on his left lateral back and based upon the proximal perforator which emerged at 8 cm below the posterior axillary fold and 3 cm posterior to the lateral border of the latissimus muscle. (C) The thin flap was completely viable. (D) The contour of the right palm appeared to be nicely restored. British Journal of Plastic Surgery 2004 57, 525-530DOI: (10.1016/j.bjps.2004.04.018)

Figure 3 (A) A 28-year-old woman had an enlarged neurofibroma over the medial aspect of the right ankle. (B) Following tumour ablation, a free thoracodorsal artery perforator flap, 12×8 cm in size, was harvested. (C) Leaving strips of muscle fiber attached to the perforator allowed safe dissection and prevented any kinking. (D) The postoperative course was smooth and the flap survived well. British Journal of Plastic Surgery 2004 57, 525-530DOI: (10.1016/j.bjps.2004.04.018)