Standard cross leg flap, still a work horse for compound fracture leg bones with extensive soft tissue damage: a case report


  • Rajneesh Galwa Department of Plastic Surgery, Dr. S. N. Medical College, Jodhpur, India
  • Pookhraj Choudhary Department of Orthopaedics, Raj Hospital, Jodhpur, India
  • Ramratan Yadav Department of General Surgery, Dr. S. N. Medical College, Jodhpur, India



Leg defect, Standard cross leg flap, STSG


This case report presents a 32 year old male patient with h/o road traffic accident resulting in compound fracture of the right tibia and fibula with extensive soft tissue injury and exposed tibia of 12×5 cm. The fractures were stabilized with ext. fixator and exposed tibia was covered by a medially based standard Cross Leg flap of dimensions 16×12 cm, though the largest dimensions described for standard cross leg is 22×10 cm.


Barclay TL, Cardoso E, Sharpe DT. Cross leg fasciocutaneous flaps. Plastic reconstructive surgery. 1983;72:847.

Bhattacharya. Fasciocutaneous flaps in plastic and reconstructive surgery, current tends. Proceedings of CME programme at national conference APSI, Kolkata. 1998: 36-40.

Wettstein R, Schurch R, Banic A, Erni D, Harder Y. Review of 197 consecutive free flaps in the lower extremity. Journal of plastic, reconstructive and aesthetic surgery. 2008;61(7):772-6.

Agarwal P, Raza HKT. Cross leg flap: Its role in limb salvage. Indian journal of orthopedics. 2008;42:439-43.

Bhattacharya V, Reddy GR. Distal perforator based cross leg flaps for leg and foot defects. Indian journal of plastic surgery. 2005;38:18-21.

Ponten B. The fasciocutaneous flap; Its use in soft tissue defects of lower leg. S British journal of plastic surgery. 1981;34:215.

Calhoun JH, Gogan WJ, Bereja V, Howard RJ, Oliphant JR. Dynamic axial fixation for immobilization of cross leg flaps in chronic osteomyelitis. Annals of plastic surgery. 1989;23:354-6.