Free innervated sole of foot transfer for contralateral lower limb salvage.

This case illustrates some important technical aspects of lower limb reconstruction. The free fillet of sole flap can be salvaged from an amputated lower extremity and used to reconstruct traumatic defects in ipsilateral and contralateral lower limbs. End-to-side neurorrhaphy is clinically useful, providing distal reinnervation in the absence of a proximal stump without damaging the donor nerve. Sharp adventitiotomy is a valuable adjunct that can be flap saving in the treatment of persistent vasoconstriction. Copyright ©2006 by the American Society of Plastic Surgeons