Comparison of free anterolateral thigh flaps and free muscle-musculocutaneous flaps in soft tissue reconstruction of lower extremity

Microsurgery ◽  
2009 ◽  
pp. NA-NA ◽  
Author(s):  
Yener Demirtas ◽  
Osman Kelahmetoglu ◽  
Mehmet Cifci ◽  
Volkan Tayfur ◽  
Ahmet Demir ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Soft Tissue Reconstruction ◽  
Musculocutaneous Flaps ◽  
Anterolateral Thigh ◽  
Tissue Reconstruction ◽  
Anterolateral Thigh Flaps

Soft tissue reconstruction and salvage of infected fixation hardware in lower extremity trauma

Microsurgery ◽  
2017 ◽  
Vol 38 (3) ◽  
pp. 259-263 ◽  
Author(s):  
Hyuma A. Leland ◽  
Alexis D. Rounds ◽  
Karen E. Burtt ◽  
Daniel J. Gould ◽  
Geoffrey S. Marecek ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Soft Tissue Reconstruction ◽  
Lower Extremity Trauma ◽  
Extremity Trauma ◽  
Tissue Reconstruction

A review of propeller flaps for distal lower extremity soft tissue reconstruction: Is flap loss too high?

Microsurgery ◽  
2013 ◽  
Vol 33 (7) ◽  
pp. 578-586 ◽  
Author(s):  
Jonas A. Nelson ◽  
John P. Fischer ◽  
Philip S. Brazio ◽  
Stephen J. Kovach ◽  
Gedge D. Rosson ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Soft Tissue Reconstruction ◽  
Flap Loss ◽  
Tissue Reconstruction

Outcomes of Soft Tissue Reconstruction for Traumatic Lower Extremity Fractures with Compromised Vascularity

2017 ◽  
Vol 83 (10) ◽  
pp. 1161-1165 ◽  
Author(s):  
Ido Badash ◽  
Karen E. Burtt ◽  
Hyuma A. Leland ◽  
Daniel J. Gould ◽  
Alexis D. Rounds ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Limb Salvage ◽  
Arterial Injury ◽  
Soft Tissue Reconstruction ◽  
Complication Rates ◽  
Arterial Injuries ◽  
Flap Failure ◽  
Vascular Compromise ◽  
Tissue Reconstruction

Traumatic lower extremity fractures with compromised arterial flow are limb-threatening injuries. A retrospective review of 158 lower extremities with traumatic fractures, including 26 extremities with arterial injuries, was performed to determine the effects of vascular compromise on flap survival, successful limb salvage and complication rates. Patients with arterial injuries had a larger average flap surface area (255.1 vs 144.6 cm2, P = 0.02) and a greater number of operations (4.7 vs 3.8, P = 0.01) than patients without vascular compromise. Patients presenting with vascular injury were also more likely to require fasciotomy [odds ratio (OR): 6.5, confidence interval (CI): 2.3–18.2] and to have a nerve deficit (OR: 16.6, CI: 3.9–70.0), fracture of the distal third of the leg (OR: 2.9, CI: 1.15–7.1) and intracranial hemorrhage (OR: 3.84, CI: 1.1–12.9). After soft tissue reconstruction, patients with arterial injuries had a higher rate of amputation (OR: 8.5, CI: 1.3–53.6) and flap failure requiring a return to the operating room (OR: 4.5, CI: 1.5–13.2). Arterial injury did not correlate with infection or overall complication rate. In conclusion, arterial injuries resulted in significant complications for patients with lower extremity fractures requiring flap coverage, although limb salvage was still effective in most cases.

scholarly journals Chest wall reconstruction using a combined musculocutaneous anterolateral-anteromedial thigh flap

2010 ◽  
Vol 43 (01) ◽  
pp. 088-091
Author(s):  
Pearlie W. W. Tan ◽  
Chin-Ho Wong ◽  
Heng-Nung Koong ◽  
Bien-Keem Tan
Keyword(s):  
Soft Tissue ◽  
Chest Wall ◽  
Rectus Femoris ◽  
Musculocutaneous Flap ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Reconstruction ◽  
Wall Defect ◽  
Prolene Mesh ◽  
Anterolateral Thigh ◽  
Tissue Reconstruction

ABSTRACTWe present a massive 25 cm x 20 cm chest wall defect resulting from resection of recurrent cystosarcoma phyllodes of the breast along with six ribs exposing pleura. The chest wall was reconstructed with a Prolene mesh–methylmethacrylate cement sandwich while soft tissue reconstruction was carried out using a combined free anterolateral–anteromedial thigh musculocutaneous flap with two separate pedicles, anastomosed to the thoracodorsal and thoracoacromial vessels respectively. We explain our rationale for and the advantages of combining the musculocutaneous anterolateral thigh flap with the anteromedial-rectus femoris thigh flap.

Clinical Application of the Anterolateral Thigh Flap for Soft Tissue Reconstruction

2009 ◽  
Vol 26 (02) ◽  
pp. 087-094 ◽  
Author(s):  
Qixu Zhang ◽  
Qun Qiao ◽  
Xinguo Yang ◽  
Hai Wang ◽  
Geoffrey Robb ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Clinical Application ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Reconstruction ◽  
Anterolateral Thigh ◽  
Tissue Reconstruction
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