Clinical Experience of 1284 Free Anterolateral Thigh Flaps

Gedebou, Tewodros M.; Wei, Fu-chain; Lin, Chenghe

doi:10.1055/s-2002-36290

Cited by 105 publications

(72 citation statements)

References 2 publications

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“…However, the 2 main disadvantages of this free flap are inconsistent vascular perforator anatomy and variable flap thickness. 2,5 The vascular supply to the ALT is most often from 1 to 3 cutaneous branches of the descending branch of the lateral circumflex femoral artery (LCFA). These are found clinically by measuring the midpoint of a line drawn from the anterior superior iliac spine (ASIS) to the superolateral border of the patella.…”

Section: Ince Its Initial Descriptionmentioning

confidence: 99%

Comprehensive Analysis of the Anterolateral Thigh Flap Vascular Anatomy

Seth¹,

Manz²,

Dahan³

et al. 2011

Arch Facial Plast Surg

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Section: Ince Its Initial Descriptionmentioning

confidence: 99%

Comprehensive Analysis of the Anterolateral Thigh Flap Vascular Anatomy

Seth¹,

Manz²,

Dahan³

et al. 2011

Arch Facial Plast Surg

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“…3 Because the blood supply of those flaps is ensured by musculocutaneous or fasciocutaneous perforator vessels, flaps' harvesting generate a lower donor site morbidity (do not sacrifice the main arteries, or some muscles). Until nowadays, it was described and used all over the body as an important number of free perforator flaps, 1,[4][5][6][7][8][9][10] but only in the last time the local perforator flaps were used in clinical practice [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] ; or, it is well known that, in obtaining a liking with like reconstruction, the use of local resources is the first choice. Because these local flaps need a microsurgical dissection, but do not need microvascular sutures, they could be defined as ''microsurgical nonmicrovascular flaps.''…”

mentioning

confidence: 99%

Microsurgical nonmicrovascular flaps in forearm and hand reconstruction

et al. 2007

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Relatively new method in flap's surgery, perforator flaps tends to monopolize nowadays the surgeon's interest. The question is: could these flaps be used not only as free flaps, as were mainly used until now, but also as local or regional flaps? On the basis of our experience with 115 operated cases, we will try to demonstrate that a lot of simple or composite defects in the forearm and hand could be covered, in selected cases, by using local or regional perforator flaps. This may have as result, in the future, a dramatic decrease in the indication for free flap transfers. Because these flaps need a microsurgical dissection, but do not need microvascular sutures, they could be defined as “microsurgical nonmicrovascular flaps.” The main advantages of these flaps could be summarized as: no microsurgical sutures, no main vascular pedicles sacrifice, same surgical field, shorter hospitalization time. © 2007 Wiley‐Liss, Inc. Microsurgery, 2007.

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“…4,[6][7][8][9][10][13][14][15]17,19,[32][33][34][35][36]38 It sends perforators through the septum between the vastus lateralis and the rectus femoris or through the vastus lateralis muscle and supplies a large skin flap on the anterolateral aspect of the thigh. If a visible septocutaneous perforator is found, the flap can be harvested as a septocutaneous flap.…”

Section: Discussionmentioning

confidence: 99%

Customized reconstruction with the free anterolateral thigh perforator flap

et al. 2008

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From April of 2003 through September of 2006, 70 free anterolateral thigh (ALT) flaps were transferred for reconstructing soft-tissue defects. The overall success rate was 96%. Among 70 free ALT flaps, 11 were elevated as cutaneous ALT septocutaneous vessel flaps. Fifty-seven were harvested as cutaneous ALT myocutaneous "true" perforator flaps. Two flaps were used as fasciocutaneous perforator flaps based on independent skin vessels. Fifty-four ALT flaps were used for lower extremity reconstruction, 11 flaps were used for upper extremity reconstruction, 3 flaps were used for trunk reconstruction, and 1 flap was used for head and neck reconstruction. Total flap failure occurred in 3 patients (4.28% of the flaps), and partial failure occurred in 5 patients (7.14% of the flaps). The three flaps that failed completely were reconstructed with a free radial forearm flap, a latissimus dorsi flap and skin grafting, respectively. Among the five flaps that failed partially, three were reconstructed with skin grafting, one with a sural flap, and one with primary closure. The free ALT flap has become the workhorse for covering defects in most clinical situations in our center. It is a reliable flap with consistent anatomy and a long, constant pedicle diameter. Its versatility, in which thickness and volume can be adjusted, leads to a perfect match for customized reconstruction of complex defects.

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Clinical Experience of 1284 Free Anterolateral Thigh Flaps

Cited by 105 publications

References 2 publications

Comprehensive Analysis of the Anterolateral Thigh Flap Vascular Anatomy

Comprehensive Analysis of the Anterolateral Thigh Flap Vascular Anatomy

Microsurgical nonmicrovascular flaps in forearm and hand reconstruction

Customized reconstruction with the free anterolateral thigh perforator flap

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