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109 free flaps were analyzed. 7 patients were excluded. The majority of patients were male (75.9%) and required reconstruction due to acute trauma (68.1% vs 31.9% for chronic wounds). There was no statistically significant association found between age, BMI, or timing of trauma with venous congestion, flap failure, or other flap related covariates. In patients with significantly elevated C-RAM scores, there was no significant association between VTE risk and flap failure following free tissue reconstruction of lower extremities. In patien
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