Loose flaps

Loose/Free flaps are the domain of microsurgery.
 * axial flaps: cutaneous, fasciocutaneous, muscular, musculocutaneous
 * loose flap transfer : completely separated from the donor site and sewn with a vascular pedicle to the vessels around the defect → sewn to the destination
 * vascular bundle of the flap: artery + 1 / 2 vein

Freely transferred skin flaps

 * inguinal flap – aa. et vv. circumflexae ilium superficial.
 * flap from the dorsum of the leg – aa. et vv. dors. pedis
 * scapular flap – aa. et vv. circumflexae scapulae
 * flap from the radial side of the forearm – aa. et vv. radiales + n. cutaneus antebrachii (preservation of sensitivity)

Freely transferred muscle and musculocutaneous flaps

 * flap of the latissimi dorsi muscle + serratus anterior muscle – aa. et vv. thoracodorsales
 * flap of the recti abdominis muscle – aa. et vv. epigastricae inferiores prof.
 * flap of the gracilis muscle – aa. et vv. curcumflexae femoris med.
 * flap of the tensor fasciae latae muscle – aa. et vv. circumflexae femoris lat. + n. cutaneus femoris lat.

Freely transferred vascularized bone grafts

 * vascularized fibula – aa. et vv. peroneae
 * vascularized bone graft from the iliac blade – aa. et vv. circumflexae ilium prof.

Related articles

 * Flaps
 * Local flaps
 * Distant flaps
 * Facial reconstruction
 * Reconstruction of the nose
 * Facial soft tissue injuries
 * Reconstruction of the upper lip
 * Reconstruction of the lower lip
 * Skin transplantation