Fig. (6) Diagrammatic sketch of the combined free-tissue flap The design and harvest of combined flap consisted of anterolateral thigh perforator flap and thoracic umbilical flap (a: the harvest of thoracic umbilical flap, b: the harvested anterolateral thigh perforator flap, c: the harvest of cross-leg flap, d:the combined free flap covering the injured site with anastomosis with the cross-leg flap).