ABSTRACT
<p><b>OBJECTIVE</b>To explore the possibility that the free latissimus dorsi musculo-cutaneous flap to repair the forearm leg wound.</p><p><b>METHODS</b>To design latissimus dorsi musculo-cutaneous flap which is foundation on T form thoracodorsal artery stalk. To set the short arm into the receiver artery break and anastomos them. It is not only reassure the blood of free musculo-cutaneous flap, but also reconstruct the continuation of the receiver main artery.</p><p><b>RESULTS</b>In 16 patients, 15 patients success completely, 1 patient main success. The blood supply of receiver is adequate.</p><p><b>CONCLUSIONS</b>The free T form thoracodorsal artery stalk musculo-cutaneous flap free grafting is a good method to repair the skin and soft tissues defection of forearm and leg.</p>