Reconstruction of Posttraumatic Defects of the Foot by Flow-Through Anterolateral or Anteromedial Thigh Flaps with Preservation of Posterior Tibial Vessels

Ao, Masakazu; Nagase, Yoh; Mae, Okiharu; Namba, Yuzaburo

doi:10.1097/00000637-199706000-00006

Cited by 63 publications

(44 citation statements)

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“…Ao et al reported its use for reconstruction in the lower extremity. 20 They applied the AMT flap as a flow-through flap, and also used an additional iliac bone graft in a patient with a malunion after tibial fracture. They stated that fasciocutaneous thigh flaps were superior to fasciocutaneous flaps from the upper extremities (e.g., radial forearm, lateral arm flap, or scapular flap) due to their longer vascular pedicle and less conspicuous scar.…”

Section: Discussionmentioning

confidence: 99%

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Free anteromedial thigh flap: Clinical application and review of literature

et al. 2003

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The anteromedial thigh (AMT) flap is reviewed in terms of its vascular anatomy and previous clinical reports in the literature. Our own series of 5 patients treated with this flap for defects in the head and neck region and lower extremity is presented. Although several authors controversially discussed vasculature, we constantly found the pedicle as an emerging septocutaneous perforator at a point where the medial border of the rectus femoris muscle is crossed by the sartorius muscle. In all 5 patients, the AMT flap provided stable coverage with no flap loss. Based on our findings, we conclude that the anteromedial thigh flap offers all the advantages of fasciocutaneous flaps. Therefore, we recommend this flap as an alternative for defects requiring coverages of thin to moderate skin thickness. However, it should be remembered that variations in vascular anatomy are possible.

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Section: Discussionmentioning

confidence: 99%

“…Ao et al 20,21 published two articles about the AMT flap with a total of 8 patients in 1997 and 1999. In the first paper, they gave no exact description of the vasculature, and stated that the detailed anatomy varied in each patient.…”

Section: Discussionmentioning

confidence: 99%

Free anteromedial thigh flap: Clinical application and review of literature

et al. 2003

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“…3), and could even be larger if adjacent territories are combined as Siamese flaps, although supercharging may be necessary to retain adequate overall perfusion. 15,28 Finally, because of the additional intramuscular and sometimes even long suprafascial course, muscle perforator flaps potentially have a long vascular pedicle, a quality valuable not only to allow reach outside the zone of injury of a lower extremity wound, but also to allow a flow-through to permit distal limb revascularization. 15,28 In addition to the not infrequent anatomical variations and the requisite tedious dissection, a problem unique to perforator flaps is that venous outflow by means of diminutive perforator venae comitantes may be tenuous or susceptible to compression.…”

Section: Discussionmentioning

confidence: 99%

“…[13][14][15][16][17][18] All should now be considered as important alternatives also for lower limb defects if the need arises.…”

mentioning

confidence: 99%

Lower Extremity Muscle Perforator Flaps for Lower Extremity Reconstruction

Hallock

2004

Plastic and Reconstructive Surgery

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A true muscle perforator flap is distinguished by the requisite intramuscular dissection of its musculocutaneous perforator to capture the same musculocutaneous territory but with total exclusion of the muscle, and thereby results in minimal functional impairment. Adhering to this definition, several lower extremity donor sites now are available, each with specific attributes especially useful for consideration in the treatment of lower extremity defects. In this author's experience over the past two decades, 20 lower extremity muscle perforator flaps using multiple donor sites proved advantageous for lower extremity coverage problems as either a local pedicled flap or as a microsurgical tissue transfer. Significant complications occurred in 30 percent of flaps (six of 20) in that further intervention was required. Venous insufficiency and bulkiness were found to be the major inherent shortcomings. However, giant flaps, lengthy and large-caliber vascular pedicles, and the possibility for combined flaps were important assets. The choice of a lower extremity muscle perforator flap for lower extremity reconstruction limited the surgical intervention and morbidity to a single body region.

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“…Este tipo de anastomosis es especialmente útil en la reconstrucción de extremidades inferiores. También puede emplearse para permitir la anastomosis de un segundo colgajo al mismo nivel del vaso receptor, lo que se consigue disecando la rama descendente de la arteria femoral circunfleja lateral, no sólo en sentido proximal hacia su origen, sino también en sentido caudal hacia la rodilla (19).…”

Section: Colgajo De Flujo a Travesunclassified

Colgajo anterolateral del muslo: anatomía quirúrgica, técnica de disección y aplicaciones clínicas

Masià

Vives

2006

Cir. Plást. Iberlatinamer.

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Código numérico 158336Palabras clave Colgajos perforantes, Colgajo anterolateral de muslo Código numérico 158336El colgajo anterolateral de muslo, basado en perforantes de la rama descendente de la arteria circunfleja femoral lateral, es un colgajo idóneo para la reconstrucción de partes blandas de pequeño y mediano tamaño. En el Hospital de la Santa Creu i Sant Pau de Barcelona (España), éste colgajo ha sido ampliamente utilizado desde el año 2000 para defectos de partes blandas sobre todo en reconstrucción de cabeza y cuello y también en la reconstrucción de extremidad inferior. Este artículo trata de revisar los aspectos más importantes del colgajo, su anatomía, las técnicas de disección quirúrgica, desde su diseño sobre el paciente hasta el proceso de elevación del colgajo, las modificaciones que se le pueden realizar para optimizar sus propiedades y sus diversas aplicaciones, sin olvidar un análisis detallado de sus ventajas e inconvenientes.Colgajo anterolateral del muslo: anatomía quirúrgica, técnica de disección y aplicaciones clínicas Resumen AbstractAnterolateral thigh flap: surgical anatomy, dissection technique and clinical applications

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Reconstruction of Posttraumatic Defects of the Foot by Flow-Through Anterolateral or Anteromedial Thigh Flaps with Preservation of Posterior Tibial Vessels

Cited by 63 publications

References 0 publications

Free anteromedial thigh flap: Clinical application and review of literature

Free anteromedial thigh flap: Clinical application and review of literature

Lower Extremity Muscle Perforator Flaps for Lower Extremity Reconstruction

Colgajo anterolateral del muslo: anatomía quirúrgica, técnica de disección y aplicaciones clínicas

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