Vascularised tube pedicle: a case report.

The conventional 4-stage migration of a tube pedicle extending over a period of several months can be reduced to a 2-stage procedure taking 4 weeks. By using the groin flap and revascularising its medial end by anastomsis to wrist vessels, the flap can be applied to its intended site in one stage. Four weeks later it is detached and insert. This method of transfer could sound the death knell of the tube pedicle as conventionally conceived if economics and patient comfort are to be considered.