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Fig. 4 | BMC Surgery

Fig. 4

From: Modified fourth lumbar artery local perforator flap: an alternative for reconstruction of nonhealing lumbosacral spinal defects

Fig. 4

Nonhealing lumbosacral defect after chordoma removal. A A MFLALP flap (21 cm × 7 cm) was designed after extensive debridement. B The flap was transferred to the wound but was insufficient to fill the cavity. C A contralateral MFLALP flap (19 cm × 6 cm) was designed and harvested. Both flaps were transferred to cover the wound, with primary donor-site closure. D Nine months postoperatively

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