Management of extensive sof tissue defects of upper and lower limbs is challenging to reconstructive surgeons, since the search for an ideal flap to cover such defects is still progressing. In the last two decades the latissimus dorsi free flap established its role as an ideal solution for lower limb defects, however, its versatility to play the same role in upper limb defects was not explored. Between January 1992 and May. 1994, 15 free latissimus drosi muscle and myocutaneous flaps were used to resurface extensive soft tissue defects of upper and lower limbs with a very successful outcome. Cases are viewed as regards site, size of defects, indication and timing of flap use, with details of some technical points. Complications and their management are also reported. The importance of team work of reconstructive, vascular and orthopaedic surgeons are also stressed.
Key words : Latissimus dorsi, Free flap, Extremity, Trauma.