Clinical applications of the pedicled anterolateral thigh flap in reconstruction

2015 ◽  
Vol 87 (6) ◽  
pp. 499-504 ◽  
Author(s):  
Chin-Ta Lin ◽  
Chih-Hsing Wang ◽  
Kuang-Wen Ou ◽  
Shun-Cheng Chang ◽  
Niann-Tzyy Dai ◽  
...  
Keyword(s):  
Clinical Applications ◽  
Anterolateral Thigh Flap ◽  
Anterolateral Thigh

Clinical applications of the pedicled anterolateral thigh flap in penile reconstruction

2011 ◽  
Vol 64 (8) ◽  
pp. 1075-1081 ◽  
Author(s):  
Mamoon Rashid ◽  
Ayesha Aslam ◽  
Saleem Malik ◽  
Muhammad S. Tamimy ◽  
Ehtesham-ul-Haq ◽  
...  
Keyword(s):  
Clinical Applications ◽  
Anterolateral Thigh Flap ◽  
Anterolateral Thigh

scholarly journals Outcomes and clinical applications of Free Anterolateral thigh Flap as a Reconstructive option for Leg and Foot Defects

2020 ◽  
Vol 24 (3) ◽  
pp. 88-93
Author(s):  
Ahmad Mohamed ◽  
ahmed abdelmageed ◽  
Mohamed Hasanyn ◽  
Gamal Elsayed ◽  
ahmed mahmoud ◽  
...  
Keyword(s):  
Clinical Applications ◽  
Anterolateral Thigh Flap ◽  
Anterolateral Thigh ◽  
Reconstructive Option

scholarly journals Distribution of Anterolateral Thigh Flap Perforator Vessels and Its Clinical Applications in Malaysian Population

2020 ◽  
Vol 25 (3) ◽  
pp. 219-224
Author(s):  
Mohd Shahrul Suondoh ◽  
Wan Azman Wan Sulaiman ◽  
Ahmad Sukari Halim ◽  
Arman Zaharil Mat Saad ◽  
Mohammad Ali Mat Zain ◽  
...  
Keyword(s):  
Reconstructive Surgery ◽  
Tumor Resection ◽  
Vascular Anatomy ◽  
Clinical Applications ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Reconstruction ◽  
Malaysian Population ◽  
Anterolateral Thigh ◽  
Perforator Vessels ◽  
Alt Flap

Purpose: Extensive studies regarding vascular anatomy and clinical applications of anterolateral thigh (ALT) flap has been conducted for many years. However, the ALT flap perforator vessels anatomy in the Malaysian population is not well-analyzed. The purpose of this study was to determine the distribution of ALT flap perforator vessels and its clinical applications in reconstructive surgery.Methods: This is a retrospective cross-sectional study conducted in two main centers of reconstructive surgery. A total of 142 cases of ALT flaps that used as an option for soft tissue reconstruction was selected. Vascular anatomy of ALT flaps was studied precisely including the origin of vessels, location of perforators, and types of perforator vessels intraoperatively during the flap harvest.Results: The distribution of ALT flap perforator vessels can be found at three specific locations on the thigh namely perforators A, B, and C. The highest number of cutaneous perforator vessels that supplied the ALT flap was musculocutaneous perforator with 72.3%, and dominantly at perforators B and C. The remaining perforator vessels were septocutaneous perforator with 27.7%, presented mainly at perforator A. A majority of cases involved the reconstruction of wound defects following tumor resection and trauma. The most area of reconstruction was the lower limb with 33.8%.Conclusion: The distribution of ALT flap perforator vessels can be predicted during flap harvest and can be applied in numerous clinical applications for wound defect coverage. The knowledge regarding vascular anatomy of ALT flap perforator vessels can aid plastic surgeons in reconstructive surgery.

Reconstruction of Extensive Soft Tissue Defects of Lower Extremity With the Extended Anterolateral Thigh Flap

2021 ◽  
pp. 153473462098223
Author(s):  
Jong-Ho Kim ◽  
Hyokyung Yoo ◽  
Seokchan Eun
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Distal Portion ◽  
Outcome Data ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Defects ◽  
Flap Viability ◽  
Anterolateral Thigh ◽  
Large Skin ◽  
Tissue Defects

The anterolateral thigh flap is a classic flap used for various reconstruction defects. However, the flap viability of extended large skin paddles (ie, 240 cm2) was doubted by many surgeons. This study reports successful experience of reconstructing extensive soft tissue defects of lower extremity using extended large skin paddles. Twelve consecutive patients who had undergone reconstruction of defects using an extended anterolateral thigh flap were identified. Patient characteristics (age, sex, defect location, injured structures, and type of flap) and outcome data were analyzed retrospectively. One artery and 2 accompanying veins were anastomosed to vascularize each flap. Follow-up periods ranged from 10 to 91 months postoperatively. The average size of the flaps was 268.75 cm2 (range = 220-391 cm2). All flaps were perforator flaps with one perforator except that 2 perforators were used in 3 patients. Two patients suffered partial flap necrosis of the distal portion with delayed healing. In conclusion, the extended anterolateral thigh flap is a considerable option for massive defects requiring composite tissue coverage. This flap is advantageous for reconstructing various complex defects in the lower extremities, providing a pliable and vascularized tissue to cover exposed extensive defects including tendons, nerves, and bones.

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