Clinical applications of the pedicled anterolateral thigh flap in reconstruction

Chin-Ta Lin, Chih-Hsin Wang, Kuang-Wen Ou, Shun-Cheng Chang, Niann-Tzyy Dai, Shyi-Gen Chen, Tim-Mo Chen, Yuan-Sheng Tzeng

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Abstract

Background: Reconstruction of extensive defects of the lower abdomen, penoscrotum, trochanter, groin and knee without using complex microsurgery is a reconstructive challenge. Pedicled anterolateral thigh (ALT) flaps offer many advantages over other regional flaps for this purpose, such as the large skin area and soft-tissue availability, a remarkable pedicle length, and possessing multiple components and reliability. We present our experience of using pedicled ALT flaps for repairing various defects. Methods: From September 2006 to December 2013, 42 pedicled ALT flaps were used in 41 patients for defects of the lower abdomen (three patients), trochanter (26 patients), penoscrotum (10 patients), groin (one patient) and knee (one patient). Twenty-eight were men and 13 were women, and their mean age was 70.5 years (range, 22-103 years). The characteristics of the patients' age, sex, cause, flap size, flap component, follow-up and donor sites were recorded. Results: The flap size ranged from 8 × 5cm (40cm2) to 11 × 18cm (198cm2). The length of the pedicle ranged from 9 to 16cm, which was enough to reach the defect without tension. No surgery-related mortality occurred. In 34 flaps, donor sites were closed primarily and eight underwent split-skin grafting. Satisfactory coverage was achieved in all patients. Conclusion: Our experience has shown the wide arc of rotation, large skin replacement potential, multiple components and reliability of pedicled ALT flaps. They are technically simple to apply as myocutaneous/fasciocutaneous flaps with minimal donor site morbidity. © 2015 Royal Australasian College of Surgeons.
Original languageEnglish
Pages (from-to)499-504
JournalANZ Journal of Surgery
Volume87
Issue number6
DOIs
Publication statusPublished - Jun 2017
Externally publishedYes

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Keywords

  • Defect
  • Pedicled anterolateral thigh flap
  • Reconstruction

Cite this

Lin, C-T., Wang, C-H., Ou, K-W., Chang, S-C., Dai, N-T., Chen, S-G., Chen, T-M., & Tzeng, Y-S. (2017). Clinical applications of the pedicled anterolateral thigh flap in reconstruction. ANZ Journal of Surgery, 87(6), 499-504. https://doi.org/10.1111/ans.12973