Immediate Emergency Free Anterolateral Thigh Flap Transfer for the Mutilated Upper Extremity

2009 ◽  
Vol 123 (6) ◽  
pp. 1739-1747 ◽  
Author(s):  
Chung-Chen Hsu ◽  
Yu-Te Lin ◽  
Cheng-Hung Lin ◽  
Chih-Hung Lin ◽  
Fu-Chan Wei
2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Carlos Alberto Torres-Ortíz Zermeño ◽  
Javier López Mendoza

Background. The anterolateral thigh (ALT) flap has been widely described in reconstruction of the upper extremity. However, some details require refinement to improve both functional and aesthetic results. Methods. After reconstruction of upper extremity defects using thinned and innervated ALT flaps, functional and aesthetic outcomes were evaluated with the QuickDASH scale and a Likert scale for aesthetic assessment of free flaps, respectively. Results. Seven patients with a mean follow-up of 11.57 months and average flap thickness of 5 mm underwent innervation by an end-to-end neurorrhaphy. The average percentage of disability (QuickDASH) was 21.88% with tenderness, pain, temperature, and two-point discrimination present in 100% of cases, and the aesthetic result gave an overall result of 15.40 (good) with the best scores in color and texture. Conclusions. Simultaneous thinning and innervation of the ALT flap lead to a good cosmetic result and functional outcome with a low percentage of disability, which could result in minor surgical procedures and better recovery of motor and sensory function. Level of Evidence. IV.


Microsurgery ◽  
2013 ◽  
Vol 34 (3) ◽  
pp. 237-239 ◽  
Author(s):  
Jerry W. Chao ◽  
Erin M. Taylor ◽  
Rahmatullah W. Rahmati ◽  
Christine H. Rohde

2010 ◽  
Vol 27 (02) ◽  
pp. 109-114 ◽  
Author(s):  
Kazunori Yokota ◽  
Toru Sunagawa ◽  
Osami Suzuki ◽  
Misa Nakanishi ◽  
Mitsuo Ochi

2016 ◽  
Vol 69 (9) ◽  
pp. 1313-1315 ◽  
Author(s):  
Takuya Higashino ◽  
Minoru Sakuraba ◽  
Azusa Oshima ◽  
Masahide Fujiki ◽  
Shimpei Miyamoto

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