Versatile application of pedicled anterolateral thigh flaps in reconstruction

Yuan-Sheng Tzeng, Shun-Cheng Chang, Niann-Tzyy Dai, Shou-Cheng Deng, Chih-Hsin Wang, Tim-Mo Chen, Shyi-Gen Chen

Research output: Contribution to journalArticle

Abstract

Background: Reconstruction of extensive defects of the lower abdomen, 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 October 2012, 32 pedicled ALT flaps were used in 31 patients for defects of the lower abdomen (3 patients), trochanter (26 patients), groin (1 patient) and knee (1 patient). Eighteen of the patients were male (58%) and the age ranged from 22 to 103 years. The flap size ranged from 8×5 cm (40 cm2) to 9×20 cm (180 cm2). Results: Satisfactory coverage was achieved in all patients. Conclusions: Our experience has shown the wide arc of rotation, large skin replacement potential, multiple components and reliability of pedicled ALT flaps. © 2013 JMS.
Original languageEnglish
Pages (from-to)177-182
Number of pages6
JournalJournal of Medical Sciences (Taiwan)
Volume33
Issue number4
DOIs
Publication statusPublished - 2013
Externally publishedYes

Keywords

  • Anterolateral thigh flap
  • Groin defect
  • Knee defect
  • Lower abdominal defect
  • Pedicled flap
  • abdominal injury
  • adult
  • aged
  • anterolateral thigh flap
  • article
  • bladder rupture
  • clinical article
  • cystostomy
  • debridement
  • decubitus
  • female
  • follow up
  • hip injury
  • human
  • inguinal region
  • knee injury
  • male
  • outcome assessment
  • patient satisfaction
  • pedicled skin flap
  • pelvis fracture
  • prosthesis infection
  • skin defect
  • skin island flap
  • surgical approach
  • wound healing

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