Comparison of Free Muscle and Perforator Skin Flaps for Soft Tissue Reconstruction of the Foot and Ankle

Demirtaş, Yener; Neimetzade, Tale; Kelahmetoğlu, Osman; Güneren, Ethem

doi:10.3113/fai.2010.0053

Cited by 30 publications

(20 citation statements)

References 15 publications

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“…The processes of identification, screening, and eligibility were described. A total of 1,802 references of free flap were identified and we included 36 studies that discussed 1,226 free flaps used to treat 1,226 patients (Table ). For the pedicled‐propeller flap, a total of 616 references was identified and we included 19 studies .…”

Section: Resultsmentioning

confidence: 99%

Free versus perforator‐pedicled propeller flaps in lower extremity reconstruction: What is the safest coverage? A meta‐analysis

Bekara

Herlin

Somda³

et al. 2016

Microsurgery

104

123

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In the lower limb the complications are not rare and many teams consider the free flaps to be safer. In this meta-analysis we provide evidence that failure and overall complications rate of perforator propeller flaps are comparable with free flaps. Although, partial necrosis is significantly higher for pedicled-propeller flaps than free flaps, in reality the success of coverage appears similar. © 2016 Wiley Periodicals, Inc. Microsurgery, 38:109-119, 2018.

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Section: Resultsmentioning

confidence: 99%

Free versus perforator‐pedicled propeller flaps in lower extremity reconstruction: What is the safest coverage? A meta‐analysis

Bekara

Herlin

Somda³

et al. 2016

Microsurgery

104

123

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“…In nonobese patients, the ALT flap is well suited for this. 18,19 In western countries, however, the ALT flap is often considerably thicker, 2 limiting its use. Although flap thinning is possible, doing so will not create as thin and pliable a flap as a radial forearm flap, for instance.…”

Section: Discussionmentioning

confidence: 99%

“…15 Most studies of outcomes of lower extremity reconstruction with the ALT flap have focused on its use as a free flap for relatively distal defects. [16][17][18][19] The ALT flap has also been used as a pedicled flap for repair of more proximal lower extremity defects, though studies of this use often included patients with defects of the abdominal wall, perineum, and back. [20][21][22] In this study, we review our experience with the use of the ALT flap, in pedicled and free forms, for the repair of defects ranging from the hip to the foot.…”

mentioning

confidence: 99%

Lower Extremity Reconstruction with the Anterolateral Thigh Flap

Nosrati

Chao

Chang

et al. 2012

J reconstr Microsurg

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The versatility and location of the anterolateral thigh (ALT) flap make it well suited for lower extremity reconstruction. The purpose of this study was to evaluate surgical and functional outcomes by specific anatomic regions in the lower extremity to better define the role of the ALT flap in lower extremity reconstruction. A retrospective review of patients undergoing lower extremity reconstruction with an ALT flap between July 2002 and December 2010 was performed. Total 46 patients underwent lower extremity reconstruction with an ALT flap, of whom 29 (63%) had a pedicled flap and 17 (37%) a microvascular free flap. Defects were located in the hip/buttocks (n = 8), groin (n = 13), thigh (n = 8), knee (n = 5), leg (n = 6), and foot/ankle (n = 6). The mean postoperative follow-up was 4 months. Total flap loss occurred in two patients (4%). There were 11 recipient site complications (24%). The most common complication was recipient site seroma, which occurred in five patients (11%), all of whom had hip/buttock or groin defects. Overall, 38 patients (83%) returned to their preoperative functional status. The ALT flap is an effective method of lower extremity reconstruction. It can be performed as a pedicled or free flap, with good surgical and functional outcomes.

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“…3,4 Hong and Kim 5 evaluated the results after plantar area coverage with innervated or not ALT flaps. Earlier sensitive recovery was gained in the innervated flap group.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Extended ALT Flaps for Foot Salvage After Severe Frostbite

Fodor

Bota

Fodor

2016

Journal of Burn Care & Research

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Plantar area reconstruction represents the most challenging part of the lower limb. The anterolateral thigh (ALT) flap proved to be a versatile flap for this special area. Herein, we present the application of bilateral ALT free flaps for foot salvage after frostbite injury and long-term follow-up. Single perforator bilateral ALT flaps (304 and 320 cm(2)) were harvested and anastomosed to posterior tibial vessels. The lateral femoral cutaneous nerve was anastomosed to the calcaneal branches of the posterior tibial nerve. The two-point discrimination test showed values from 16 to 28 mm in different flap areas 5 years later. The patient is able to walk with crutches. This is the first case report of bilateral ALT for foot salvage.

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Comparison of Free Muscle and Perforator Skin Flaps for Soft Tissue Reconstruction of the Foot and Ankle

Cited by 30 publications

References 15 publications

Free versus perforator‐pedicled propeller flaps in lower extremity reconstruction: What is the safest coverage? A meta‐analysis

Free versus perforator‐pedicled propeller flaps in lower extremity reconstruction: What is the safest coverage? A meta‐analysis

Lower Extremity Reconstruction with the Anterolateral Thigh Flap

Simultaneous Extended ALT Flaps for Foot Salvage After Severe Frostbite

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