The combined ALT–groin flap for the mutilated and degloved hand

Pedicled anterolateral thigh flap cover for a post-infective raw area of the inguinal region following a femoral artery graft: A case report

“…7 The pedicled ALT flap was also used to resurface ischial pressure ulcers by Lee JT et al [8] Lee GK et al emphasized the pedicled ALT as the preferred method for reconstruction of total penile defects. Pedicled ALT flap had several advantages over the free radial forearm flap for total penile reconstruction like lack of need of microvascular surgery, better colour match, bulky flap, and less donor site morbidity as mentioned by Lee GK et al [9] Many authors have described the pedicled ALT flap for pelvic defects [10][11][12] Zelken JA et al utilised pedicled ALT flap along with groin flap to reconstruct the mangled hand injuries [13] . ALT flap is a versatile option to cover the soft tissue defects around the knee joint and upper leg based on the distal circulation, but venous congestion is a problem which can be prevented by supercharging the flap vein to great saphenous vein [14,15] .…”

The Versatility of Pedicled Anterolateral Thigh Flap: A Tertiary Re-ferral Center Experience from India

“…utilised pedicled ALT flap along with groin flap to reconstruct the mutilated hand injuries. ALT flap provided large amount of soft tissue cover along with the groin flap so that the circumferential degloving injuries could be reconstructed in a staged manner [14].…”

Comparison of Thigh-Based versus Groin-Based versus Lateral-Thoracic-Based Flaps for Hand Resurfacing: A Review Article

“…The literature describes use of flaps in combination with others. Predominantly ALT with free-toe transfer and combined groin-ALT pedicled flaps to create a sandwich [30][31][32][33] . Kim et al resurfaced a totally degloved hand using an ALT-flap for palmar resurfacing and a paraumbilical perforator-flap for the dorsal resurfacing 34 .…”