Cross Leg Flap - Still a Reliable Option for Lower Limb Salvage: A Retrospective Study

Background: With the development of various options for lower extremity reconstruction, the cross leg flap has become a lesser utilized choice. However, it still is a robust method when other methods cannot be used. We studied the patients who underwent cross leg flap coverage at our institution. We found it be reliable though associated with various disadvantages, especially patient discomfort. With better understanding of anatomy, the method of performing the flap has changed, and the disadvantages are lessened. Methods: The retrospective study was done. Records of all patients who underwent cross leg flap at our hospital from January 2008 to December 2014 were studied, and results evaluated. Results: A total of 13 patients were studied. Flap survived in all patients. One patient had marginal necrosis, and two patients had marginal epidermal necrosis. No further intervention was required in any patient, and all defects healed completely. Conclusions: Cross leg flap is a reliable option for lower limb reconstruction, which can be used when other options are not available.