The primary indication for free flap transfer is the presence of a tissue defect due to trauma or disease that cannot be closed by simpler methods. Less apparent indications include the need to improve local circulation by using a well vascularized muscle flap, as in the treatment of osteomyelitis, or radiation necrosis, the need for vascularized bone in reconstituting a long segmental bony defect, the need to give motion to the face following facial paralysis or to a paralyzed functionless limb and the need to restore sensibility to an anesthetic area of the hand or the weight bearing surface of the foot. Demands vary according to location and circumstances.
Reconstructive Microsurgery, edited by Konstantinos Malizos. ©2003 Landes Bioscience.
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