scholarly journals Reverse-flow anterolateral thigh flap without antegrade venous reconstruction for knee soft-tissue reconstruction

2015 ◽  
Vol 48 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Hsuan-Keng Yeh ◽  
Chung-Chen Hsu ◽  
Cheng-Hung Lin ◽  
Yen-Chang Hsiao ◽  
Yi-Chieh Chen ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Reverse Flow ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Reconstruction ◽  
Venous Reconstruction ◽  
Anterolateral Thigh ◽  
Tissue Reconstruction

scholarly journals Chest wall reconstruction using a combined musculocutaneous anterolateral-anteromedial thigh flap

2010 ◽  
Vol 43 (01) ◽  
pp. 088-091
Author(s):  
Pearlie W. W. Tan ◽  
Chin-Ho Wong ◽  
Heng-Nung Koong ◽  
Bien-Keem Tan
Keyword(s):  
Soft Tissue ◽  
Chest Wall ◽  
Rectus Femoris ◽  
Musculocutaneous Flap ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Reconstruction ◽  
Wall Defect ◽  
Prolene Mesh ◽  
Anterolateral Thigh ◽  
Tissue Reconstruction

ABSTRACTWe present a massive 25 cm x 20 cm chest wall defect resulting from resection of recurrent cystosarcoma phyllodes of the breast along with six ribs exposing pleura. The chest wall was reconstructed with a Prolene mesh–methylmethacrylate cement sandwich while soft tissue reconstruction was carried out using a combined free anterolateral–anteromedial thigh musculocutaneous flap with two separate pedicles, anastomosed to the thoracodorsal and thoracoacromial vessels respectively. We explain our rationale for and the advantages of combining the musculocutaneous anterolateral thigh flap with the anteromedial-rectus femoris thigh flap.

Clinical Application of the Anterolateral Thigh Flap for Soft Tissue Reconstruction

2009 ◽  
Vol 26 (02) ◽  
pp. 087-094 ◽  
Author(s):  
Qixu Zhang ◽  
Qun Qiao ◽  
Xinguo Yang ◽  
Hai Wang ◽  
Geoffrey Robb ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Clinical Application ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Reconstruction ◽  
Anterolateral Thigh ◽  
Tissue Reconstruction

Achilles Tendon Region Defects: Delayed Composite Anterolateral Thigh Flap With Stripping of Fascia Lata: A Case Series

2020 ◽  
Vol 66 (12) ◽  
pp. 13-22
Author(s):  
Cesare Tiengo ◽  
Regina Sonda ◽  
Andrea Monticelli ◽  
Francesco Messana ◽  
Alberto Crema ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Achilles Tendon ◽  
Short Form ◽  
Case Series ◽  
Fascia Lata ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Reconstruction ◽  
Medical Outcomes ◽  
Anterolateral Thigh ◽  
Tissue Reconstruction

Defects of the Achilles tendon that include the surrounding soft tissue represent a challenge due to complex functionality and biomechanics. PURPOSE: The purpose of this study was to evaluate the functional and physical functioning score outcomes of patients following microsurgical reconstruction of the yarrow region, using a combination of objective, subjective, and semi-subjective measurements. METHODS: Between 2007 and 2018, 15 patients underwent delayed Achilles tendon region reconstruction with different anterolateral thigh flap types. Seven (7) patients underwent tendon and soft tissue reconstruction with a chimeric anterolateral thigh flap (ALT) and rolled-up fascia lata, and 8 patients underwent soft tissue reconstruction and only tendon coverage with fascia lata. Follow-up assessments included maximal range of motion (MROM) (plantarflexion and dorsiflexion), the American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale score, and the Medical Outcomes Study 36-item Short-Form Health Survey physical functioning subscore. RESULTS: A total of 15 patients (11 males and 4 females with a mean age of 39.86 years) were evaluated during a mean follow-up time of 23 months (SD = 7.12). The MROM for plantarflexion and dorsiflexion was 42.71 degrees (SD = 2.9) and 24.8 degrees (SD = 4.29), respectively, in patients who underwent composite ALT with a rolled-up fascia lata. The MROM for plantarflexion and dorsiflexion was 43 degrees (SD = 5.37) and 27.37 degrees (SD = 3.2), respectively, in patients who underwent fasciocutaneous ALT. The mean American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale score was 82 for the first group and 86.87 for the second, whereas the mean Medical Outcomes Study 36-item Short-Form Health Survey scores were 82.57 and 81.5, respectively, for the 2 groups. Statistical analysis showed no significant difference between the 2 groups. CONCLUSIONS: The results of this case series suggest that the single-stage composite reconstruction with a fasciocutaneous flap with or without a strip of fascia lata is a safe and reliable strategy for composite reconstruction of the Achilles tendon region. Additional studies to evaluate these outcomes and instruments to evaluate functioning are necessary.

Single Stage Reconstruction of Posterior Soft Tissue Ankle Defects with a Free Anterolateral Thigh Flap and Rolled Tensor Fascia Lata for Functional Tendo-Achilles Reconstruction - A Case Report and Review of the Literature

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Bagirathan S ◽  
◽  
Ibrahim N ◽  
Patel NG ◽  
◽  
...  
Keyword(s):  
Soft Tissue ◽  
Achilles Tendon ◽  
Fascia Lata ◽  
Single Stage ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Reconstruction ◽  
Tensor Fascia Lata ◽  
Anterolateral Thigh ◽  
Tissue Reconstruction ◽  
Sural Artery

Soft tissue defects in the posterior ankle region with underlying Achilles tendon loss pose a reconstructive challenge to both Orthopaedic and Plastic surgeons. Such injuries can result in a severely debilitating sequelae for the patient, therefore reconstruction of the area must provide reliable function and durability with minimal complications and aesthetically pleasing results to enable normal foot wear. We describe the case of a twenty-seven year old male, who presented following a traumatic open rupture of the Achilles tendon and failed reverse sural artery flap. We performed a single stage composite soft tissue reconstruction with a free anterolateral thigh (ALT) flap and rolled vascularised Tensor Fascia Lata (TFL) for functional Achilles tendon reconstruction. The patient had no post-operative complications and was able to fully weight bear and dorsiflex his foot beyond ninety degrees at seven month follow-up. Whilst many options are available to reconstruct this area, we review the literature to illustrate the advantages of using this technique to achieve all of the above factors, and advocate for all foot and ankle surgeons to be aware of its use in their reconstructive repertoire.

scholarly journals Reverse-flow anterolateral thigh flap for knee soft-tissue reconstruction: case report

2019 ◽  
Vol 7 (10) ◽  
pp. 3914
Author(s):  
Banegas-Ruíz R. ◽  
Gómez-Mendoza Francisco Fabián ◽  
Baca-Domínguez Carlos Rubén ◽  
Campos-Angulo Gerardo ◽  
Luis Jesús Alejo-Fuentes ◽  
...  
Keyword(s):  
Reverse Flow ◽  
Donor Site ◽  
Wound Management ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Reconstruction ◽  
Skin Defect ◽  
Aesthetic Result ◽  
Anterolateral Thigh ◽  
Complex Procedure ◽  
Tissue Reconstruction

The reconstruction of the injured tissue around the knee is a complex procedure for the plastic and orthopaedic surgeon. The objective is to provide an acceptable function and aesthetic result. Successful wound management includes meticulous debridement, planning and proper execution of the surgical procedure. An 11-year-old male patient with a right patellar fracture using an anterolateral thigh flap with reverse flow to cover the skin defect. For such purposes, the reverse flow anterolateral flap is an effective, trustworthy and well-documented option. The correct obtaining and implantation of the flap reduces the morbidity of the donor site, offers options in size and design, an adequate length of the pedicle and the possible combination with the fascia lata in case it is required. The versatility of the reverse flow anterolateral flap makes it a possible therapeutic alternative in reconstructive surgery since it is aesthetic and functional for the reconstruction of tissue near the knee joint.

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