ePlasty: Vol. 18
Optimizing Outcomes in Pedicle and Free Flap Reconstruction in Patients With Sickle Cell Trait
David Buziashvili, MBS,a Richard S. Zeri, MD, FACS,b and Tom Reisler, MB ChB, BSc(Hons), MRCS(Ed)b

aNew Jersey Medical School, Rutgers University, Newark; and bDivision of Plastic and Reconstructive Surgery, Department of Surgery, The Brody School of Medicine, East Carolina University, Greenville, NC

Correspondence: tomre13@yahoo.com
Keywords: sickle cell trait, free flap, pedicel flap, thrombosis, exchange transfusion
Figure 1. (a) Photograph demonstrating a grade IIIB Gustilo-Anderson open left distal tibia/fibula fracture; (b) photograph with the display of the posterior tibial recipient vessels; and (c) photograph with the anterolateral thigh perforator free flap inset.
Figure 2. (a) Preoperative marking of the right anterolateral thigh perforator free flap, 17 × 7 cm in size; (b) harvesting of the free flap; and (c) primary closure of the donor site.


A 46-year-old African American man presented with grade IIIB Gustilo-Anderson o .......