1) A section of tissue (usually skin) separated from underlying structures but still attached at its distal end by a PEDICLE through which it receives its blood supply. The free end may then be sutured into a new position to cover a defect caused by trauma or excision of diseased tissue. A free flap involves detachment of a section of tissue, often including bone and muscle, to a distant site where the artery and vein supplying it are anastomosed to adjacent vessels and the tissue is sutured into place. (See PLASTIC OR RESTORATIVE SURGERY.) 2) Coarse repetitive movements of the limbs characteristic of advanced liver disease.