Versatility of the pedicled anterolateral thigh flap for surgical reconstruction, a case series.
Alt flap
Clinical application
Distally based
Pedicled anterolateral thigh flap
Reconstruction
Venous supercharge
Journal
JPRAS open
ISSN: 2352-5878
Titre abrégé: JPRAS Open
Pays: Netherlands
ID NLM: 101680420
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
20
01
2020
accepted:
14
05
2020
entrez:
10
7
2020
pubmed:
10
7
2020
medline:
10
7
2020
Statut:
epublish
Résumé
The pedicled anterolateral thigh flap is a versatile flap that offers many advantages. These include a long and reliable pedicle that enables a wide arch of rotation, the possibility to harvest a large skin area, raising the flap with underlying fascia and muscle and minimal donor site morbidity. From 2009 to 2018 nine patients were reconstructed with a pedicled anterolateral thigh flap. The flap was applied for coverage of knee infections, trochanteric defects, an abdominal defect, a gluteal defect, and a defect of the inguinal region. The patient group consisted of five males and four females. The age range was 30-90 years with a mean age of 61 years. Flap size ranged from 10 x 5 cm (50 cm Our experience illustrates the versatility in the clinical application of the pedicled anterolateral thigh flap. The many advantages of the flap, such as the long and reliable pedicle, a large area of skin that can be harvested, the potential to supercharge the flap and the minimal donor site morbidity highlights the diversity of defects that can be reconstructed using this flap.
Sections du résumé
BACKGROUND
BACKGROUND
The pedicled anterolateral thigh flap is a versatile flap that offers many advantages. These include a long and reliable pedicle that enables a wide arch of rotation, the possibility to harvest a large skin area, raising the flap with underlying fascia and muscle and minimal donor site morbidity.
METHODS
METHODS
From 2009 to 2018 nine patients were reconstructed with a pedicled anterolateral thigh flap. The flap was applied for coverage of knee infections, trochanteric defects, an abdominal defect, a gluteal defect, and a defect of the inguinal region. The patient group consisted of five males and four females. The age range was 30-90 years with a mean age of 61 years.
RESULTS
RESULTS
Flap size ranged from 10 x 5 cm (50 cm
CONCLUSION
CONCLUSIONS
Our experience illustrates the versatility in the clinical application of the pedicled anterolateral thigh flap. The many advantages of the flap, such as the long and reliable pedicle, a large area of skin that can be harvested, the potential to supercharge the flap and the minimal donor site morbidity highlights the diversity of defects that can be reconstructed using this flap.
Identifiants
pubmed: 32642534
doi: 10.1016/j.jpra.2020.05.002
pii: S2352-5878(20)30019-X
pmc: PMC7334399
doi:
Types de publication
Journal Article
Langues
eng
Pagination
52-61Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2020 The Author(s).
Déclaration de conflit d'intérêts
None.
Références
J Reconstr Microsurg. 2010 Feb;26(2):87-94
pubmed: 20013586
Curr Opin Otolaryngol Head Neck Surg. 2004 Aug;12(4):300-4
pubmed: 15252250
Strategies Trauma Limb Reconstr. 2018 Nov;13(3):151-162
pubmed: 30276606
Plast Reconstr Surg. 2002 Jun;109(7):2219-26; discussion 2227-30
pubmed: 12045540
Indian J Plast Surg. 2014 May;47(2):221-6
pubmed: 25190918
Ann Plast Surg. 1978 Jul;1(4):372-9
pubmed: 365059
Plast Reconstr Surg. 2011 Feb;127(2):677-88
pubmed: 21285772
Microsurgery. 2016 Jan;36(1):20-8
pubmed: 25653210
Microsurgery. 2017 Feb;37(2):119-127
pubmed: 26109324
Int Orthop. 2014 Jul;38(7):1387-92
pubmed: 24663397
Ann Plast Surg. 2012 Feb;68(2):188-9
pubmed: 21540734
Curr Opin Otolaryngol Head Neck Surg. 2011 Aug;19(4):263-8
pubmed: 21900855
Plast Reconstr Surg. 1999 Apr;103(4):1191-7
pubmed: 10088506
Clin Plast Surg. 2010 Oct;37(4):677-81, vii
pubmed: 20816522
Br J Plast Surg. 1984 Apr;37(2):149-59
pubmed: 6713155
J Plast Reconstr Aesthet Surg. 2008;61(2):158-64
pubmed: 18023266
Eplasty. 2012;12:e21
pubmed: 22582118
J Plast Reconstr Aesthet Surg. 2012 Nov;65(11):1525-9
pubmed: 22647569
Plast Reconstr Surg. 1998 Oct;102(5):1517-23
pubmed: 9774005
Plast Reconstr Surg. 2013 Dec;132(6):1720-32
pubmed: 24281597
Microsurgery. 2017 Sep;37(6):516-524
pubmed: 27273808
Injury. 2008 Oct;39 Suppl 4:47-54
pubmed: 18804586
Ann Plast Surg. 2010 Apr;64(4):458-61
pubmed: 20224331
Clin Plast Surg. 2017 Apr;44(2):371-384
pubmed: 28340669
Plast Reconstr Surg. 2005 Sep;116(3):932-4
pubmed: 16141853
Plast Reconstr Surg. 2012 Feb;129(2):397e-399e
pubmed: 22286486
ANZ J Surg. 2017 Jun;87(6):499-504
pubmed: 25598019