Experiences in Harvesting Type II Distally Based Anterolateral Thigh Flaps

Lin, Ray Yung-Chiou; Chien, Wen-Hsiang

doi:10.1097/01.prs.0000222243.18349.52

Cited by 21 publications

(18 citation statements)

References 2 publications

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“…12 If venous supercharging was not enough in our case or if an arterial insufficiency was detected, our choice would be the conversion of the pedicled ALT to a free flap. 9 The 20-cm pedicle length could permit the anastomoses with the anterior tibial vessels at the medial third of the tibia, were superficially located, ensuring straightforward anastomoses.…”

Section: Discussionmentioning

confidence: 99%

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Venous Augmentation of Distally Based Pedicled ALT Flap to Reconstruct the Tibial Tuberosity in a Severely Injured Leg

Gravvanis

Britto

2009

Annals of Plastic Surgery

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Section: Discussionmentioning

confidence: 99%

“…7 On the other hand, questionable arterial supply 8 and problems of venous congestion have been reported. 9 We present the successful use of a distally based pedicled anterolateral thigh flap with a venous supercharge, to reconstruct the tibial tuberosity in a severely injured lower limb.…”

mentioning

confidence: 99%

Venous Augmentation of Distally Based Pedicled ALT Flap to Reconstruct the Tibial Tuberosity in a Severely Injured Leg

Gravvanis

Britto

2009

Annals of Plastic Surgery

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“…6–9,11–14 With its extremely long pedicle, wide arc of rotation, and large skin flap size, it certainly is a versatile reconstructive option. Moreover, the need to access deep recipient vessels is avoided and donor site morbidity is minimal.…”

Section: Discussionmentioning

confidence: 99%

Reverse Anterolateral Thigh Flap to Revise a Below-knee Amputation Stump at the Mid-tibial Level

Sadigh

Shih

et al. 2013

Plastic and Reconstructive Surgery Global Open

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Summary:The reconstruction of defects around the knee often poses a challenge due to the limited availability of local soft tissues. Indeed, this same problem is encountered when attempting to revise a below-knee amputation stump. Moreover, due to a paucity of recipient vessels in those who have undergone previous amputation secondary to trauma, free-flap reconstruction is often challenging and not always successful. We report a case of a reverse anterolateral thigh (ALT) flap used to revise a long below-knee amputation stump. Previous reports in the literature attest to the versatility of the reverse ALT to cover defects around the knee and proximal tibia, but to our knowledge, this is the first report of a reverse ALT reaching to the mid-tibial level.

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“…11 Elevation of Type II and IV distally based ALT flap (on perforators derived from the transverse branch of the LCFA) can be technically demanding. 16 Preserving the blood supply from the superior genicular artery is essential for flap survival.…”

Section: Zhangmentioning

confidence: 99%

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

Fujiwara¹,

Chen²,

Gheţu³

et al. 2010

Microsurgery

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Reconstruction of soft-tissue defects of the knee has always been a challenging task to the plastic surgeon. In some cases, local or regional flaps are too small or have limited arc of rotation for adequate coverage. Free flaps can be technically demanding and time consuming. We report for the first time an antegrade anterolateral thigh perforator flap advancement, used to reconstruct the knee soft tissue defect in a 54-year-old man. The operative procedure required skeletonizing the perforators of anterolateral thigh flap and advancing the flap in the defect. The postoperative course was uneventful with the patient returned to normal daily activity and full range of motion 3-months postoperatively. The shorter operating time with decreased donor-site morbidity make this flap as a valuable alternative for soft-tissue reconstruction of the knee.

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Experiences in Harvesting Type II Distally Based Anterolateral Thigh Flaps

Cited by 21 publications

References 2 publications

Venous Augmentation of Distally Based Pedicled ALT Flap to Reconstruct the Tibial Tuberosity in a Severely Injured Leg

Venous Augmentation of Distally Based Pedicled ALT Flap to Reconstruct the Tibial Tuberosity in a Severely Injured Leg

Reverse Anterolateral Thigh Flap to Revise a Below-knee Amputation Stump at the Mid-tibial Level

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

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