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Page 4 of 10 Othman et al. Plast Aesthet Res 2022;9:21 https://dx.doi.org/10.20517/2347-9264.2022.03

Table 1. Study characteristics, patient demographics, and injury mechanism

Author Year Number Age (y) Leg Ankle Foot ATV Motorcycle Car Gunshot Pedestrian v. MV Lawn Mower Fall
[15]
Elbataway et al. 2020 34 3-16 0 3 31 0 0 21 0 0 7 6
[12]
Rinkeret al. 2005 26 2-17 0 26 foot/ankle 6 4 2 4 3 4 3
[13]
Lee et al. 2020 53 11-17 37 0 0 0 5 6 9 15 0 4
[14]
Momeniet al. 2016 40 1-17 14 9 17 0 0 0 0 0 0 0
[16]
Hu et al. 2015 25 4-14 0 5 20 0 19 3 0 0 0 0
[17]
Sui et al. 2019 42 2-13 9 11 22 N/A
[18]
Khadim et al. 2019 23 5-16 23 4 3 0 0 30 0 0 0 0

ATV: All-terrain vehicle; MV: Motor vehicle.

Table 2. Flap and recipient vessel selection

2
Author Defect Size (cm ) Timing (d) ALT Scapular/ LD RA DIEP Serratus Gracilis Groin TDP TFL Deltoid RFF LA AT PT DP Peroneal
Parascapular
[15]
Elbataway et al. 50-92 N/A 5 0 29 0 0 0 0 0 0 0 0 0 0 27 5 2 0
[12]
Rinker et al. N/A 8 0 0 15 4 0 4 3 0 0 0 0 0 0 N/A
[13]
Lee et al. 30-600 < 7 d (68.8%) 5 0 28 7 0 0 4 4 1 1 1 0 0 18 28 2 3
7-90 d (42.1%) > 90 d (35.7%)
[14]
Momeniet al. N/A N/A 16 1 19 1 0 0 3 0 0 0 0 1 1 8 27 2 1
[16]
Hu et al. 117 8.7 25 0 0 0 0 0 0 0 0 0 0 0 0 17 8 0 0
[17]
Sui et al. 24-72 N/A 0 21 0 0 21 0 0 0 0 0 0 0 24 18 0 0
[18]
Khadim et al. N/A 2 11 16 0 0 0 0 3 2 0 0 0 0 0 N/A

cm: Centimeters; D: Days; ALT: Anterolateral thigh flap; LD: Latissimus dorsi; RA: Rectus Abdominis; TDP: Thoracodorsal perforator; TFL: Tensor fascia lata; RFF: Radial forearm; LA: Lateral arm; AT: Anterior tibial
artery; PT: Posterior tibial artery; DP: Dorsalis pedis artery.

address defect size. Cross-leg flaps have been documented to help address this but require prolonged immobilization and re-operation, both of which are

unfavorable in the pediatric population [20,21] . For these reasons, it may often be necessary to pursue alternate means of coverage. The use of free-tissue transfer
in the adult population is well documented, though the pediatric population is less described given hesitancy to harvest free flaps in often-unfamiliar patient
anatomy as well as difficulty in revascularization when necessary due to vessel caliber and inexperience from vascular surgery experts [10,13] . However, this study

shows that the free tissue transfer in this setting is well described with good outcomes and should be pursued.