Antegrade anterolateral thigh perforator flap advancement for soft‐tissue reconstruction of the knee: Case report

Fujiwara, Takashi; Chen, Chien‐Chang; Gheţu, Nicolae; Jeng, F.A.C.S. Seng-Feng; Kuo, Feng-Chih

doi:10.1002/micr.20804

Cited by 7 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 2010, Fujiwara et al first described the use of ALT flap, as an advancement local unit, for the coverage of the knee region [15]. Even if the operative procedure required skeletonizing the perforators, the shorter operating time with decreased donor-site morbidity made this flap a valuable alternative for soft-tissue reconstruction of the knee.…”

Section: Discussionmentioning

confidence: 98%

Proximally Based Anterolateral-Thigh (ALT) Flap for Knee Reconstruction: An Advancement Propeller Perforator Flap

et al. 2015

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 98%

Proximally Based Anterolateral-Thigh (ALT) Flap for Knee Reconstruction: An Advancement Propeller Perforator Flap

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Since his original report, ALT has become the workhorse perforator flap in pedicled soft tissue around the knee reconstruction. After, Fujiwara reported also a case of reconstruction performed by an ALT advancement flap based on the anterograde flow (Fujiwara, Chen, Ghetu, Jeng, & Kuo, ). However, reverse‐flow ALT flap in upper third of the leg reconstruction may often be complicated by vascular insufficiency because of the kinking of the pedicle during the insetting and in those cases a supercharged flap should be performed (Demirseren et al, ; Fujiwara et al, ; Rao et al, ).…”

Section: Discussionmentioning

confidence: 99%

Lower medial thigh perforator (LMTP) propeller flap for reconstruction of soft tissue defects around the knee

et al. 2019

View full text Add to dashboard Cite

Background Skin and soft‐tissue defects around the knee are common and their reconstruction is still challenging and argued. Thin, pliable and well‐vascularized tissues are required in order to restore the aesthetic appearance of the knee and facilitate joint function. Historically local muscle flaps were employed for the upper third of the lower limb reconstruction; however, since their introduction, different perforator flaps have been proposed for this purpose. The aim of this report is to share our clinical experience with the pedicled lower medial thigh perforator (p‐LMT) flap for the reconstruction of skin and soft tissue defects around the knee. Patients and Methods Between August 2013 and July 20, 2018, patients underwent pedicled LMT propeller flap reconstruction for defects around the knee. The subunits of the defects were the suprapatellar, the infrapatellar and patellar area and in two cases a full around the knee defect was reported. Cause of defects included trauma (13), tumor (4) and infection after knee operation (3) and defect sizes ranged from 4 × 3 cm2 to 7 × 8 cm2. Results Flap sizes ranged from 4 × 9 cm2 to 6 × 16 cm2. One to two perforators based on the superficial femoral artery or descending genicular artery were found between the septum of satorius and vastus medialis, or piercing the vastus medialis during dissection. All flaps were rotated 180° in propeller fashion. All the donor sites were primarily closed and no complication at the donor site was detected. In the two cases of the total knee soft tissue defect, a double pedicled flaps reconstruction was required. After a 6 months follow‐up, all the patients in the series achieved a full range of motion. Conclusions Fasciocutaneous flaps are currently the first reconstructive option for the soft tissue defects around the knee. The p‐LMT flap reconstruction in this case series achieved good aesthetic and functional outcomes and this flap may be a valuable option for the reconstruction of the small to medium soft tissue defects around the knee.

show abstract

“…Numerous surgical trials have been performed using musculocutaneous flaps, fasciocutaneous flaps, perforator flaps, and free flaps to repair these defects with varying degrees of success. [1][2][3] Local flaps created from the calf muscle are preferred primary surgical option. However, local flap may not be an option when there is injury to the donor site endangering the vascularity.…”

Section: Introductionmentioning

confidence: 99%

Supermicrosurgical reconstruction of knee defect using superior medial genicular perforator as a recipient vessel

Kim¹

2014

Plast Aesthet Res

View full text Add to dashboard Cite

A 24-year-old male presented after being involved in a motorcycle accident and was found to have soft tissue defects of the knee with exposure of patella. Due to the severe injury from the popliteal fossa to the posterior aspects of the lower leg, repair with a free flap from anterolateral thigh perforator was planned instead of local calf muscle flap. Preoperative angiography was performed, and it showed that superior medial genicular perforator was patent compared with unreliable filling of the superior lateral genicular perforator. The soft tissue defect was repaired using the superior medial genicular perforator as the recipient vessel. This was performed by creating perforator to perforator anastomosis (supermicrosurgery). The flap survived successfully, and the patient was able to ambulate in a few weeks without serious complications. This case indicates that superior medial genicular perforator can be used as the recipient vessel for covering the soft tissue defects of the knee caused by blunt injury.

show abstract

Antegrade anterolateral thigh perforator flap advancement for soft‐tissue reconstruction of the knee: Case report

Cited by 7 publications

References 19 publications

Proximally Based Anterolateral-Thigh (ALT) Flap for Knee Reconstruction: An Advancement Propeller Perforator Flap

Proximally Based Anterolateral-Thigh (ALT) Flap for Knee Reconstruction: An Advancement Propeller Perforator Flap

Lower medial thigh perforator (LMTP) propeller flap for reconstruction of soft tissue defects around the knee

Supermicrosurgical reconstruction of knee defect using superior medial genicular perforator as a recipient vessel

Contact Info

Product

Resources

About