Complex Lower Extremity Reconstruction with Free Perforator Flap in a 20 Month Old Child

Abstract

Free perforator flap reconstruction in toddlers is rare. A 20-month-old toddler sustained a complex ankle injury following a motor vehicle accident. At the initial debridement, a joint spanning external fixator frame was placed for ankle stabilization. The wound was covered with free anterolateral thigh flap a week later. Perforator free flap for complex lower extremity defects is feasible in very young children, even in low resource settings.