scholarly journals Deep Inferior Epigastric Flap Combined Bilateral-Anterolateral Thigh Flap for the Coverage of Both Lower Extremity Soft-Tissue Defect: A Case Report and a Literature Review

2021 ◽  
Vol Volume 14 ◽  
pp. 153-161
Author(s):  
Xilin Liu ◽  
Da Huo ◽  
Guangzhi Wu
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Literature Review ◽  
Lower Extremity ◽  
Soft Tissue Defect ◽  
Anterolateral Thigh Flap ◽  
Tissue Defect ◽  
Anterolateral Thigh ◽  
Epigastric Flap

scholarly journals A case series of flow-through free anterolateral thigh flap to augment the vascularity of ischaemic limbs with soft tissue defect

2016 ◽  
Vol 49 (01) ◽  
pp. 35-41 ◽  
Author(s):  
Aditya Aggarwal ◽  
Hardeep Singh ◽  
Sanjay Mahendru ◽  
Vimalendu Brajesh ◽  
Sukhdeep Singh ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Limb Salvage ◽  
Soft Tissue Defect ◽  
Single Step ◽  
Anterolateral Thigh Flap ◽  
Vascular Repair ◽  
Tissue Defect ◽  
Soft Tissue Cover ◽  
Anterolateral Thigh ◽  
Flow Through

ABSTRACT Introduction: In a world of fast moving vehicles, heavy machinery and industries crush injury to limbs with vascular compromise and soft tissue defect is common. The traditional treatment is a 2 step one dealing with vascular repair and soft tissue cover separately, in the same operation. We report a series of single step vascular repair and soft tissue cover with flow through anterolateral thigh flap (ALT) flap for limb salvage. Materials and Methods: Ten patients with soft tissue defect and vascular injury were included in this study. A two team approach was used to minimise operative time, team one prepared the vessels and team 2 harvested the flap. Observations and Results: Of the ten patients operated (8 males), eight flaps were done for upper limb and two for lower limb salvage. Six anastomosis were done with ulnar vessels, two with radial and two with posterior tibial vessels. Nine extremities could be salvaged while one patient developed progressive thrombosis leading to amputation. Conclusion: The ALT flow-through flap is a versatile single step procedure that can be used to salvage an ischemic limb with soft tissue loss avoiding the need for interpositional vein graft.

scholarly journals Reconstruction of Soft-Tissue Defect Around the Knee Using a Pedicled Reverse-Flow Anterolateral Thigh Flap: A Case Report

2020 ◽  
Vol 25 (1) ◽  
pp. 55-59
Author(s):  
Nam Jang ◽  
Hyun Woo Shin ◽  
Kun Chul Yoon
Keyword(s):  
Soft Tissue ◽  
Reverse Flow ◽  
Soft Tissue Defect ◽  
Anterolateral Thigh Flap ◽  
Tissue Defect ◽  
Circumflex Femoral Artery ◽  
Anterolateral Thigh ◽  
Pedicle Length ◽  
Lateral Circumflex Femoral ◽  
Alt Flap

Coverage of traumatic soft-tissue defects around the knee is a challenging problem for reconstructive surgeons though many reconstructive options are available. We planned to use a pedicled reverse-flow anterolateral thigh (ALT) flap using the distal branch of the descending branch of the lateral circumflex femoral artery (LCFA) for pedicle length extension in a patient with the ALT perforator branch originating from the proximal portion of the descending branch of LCFA. We present the successful use of a pedicled reverse-flow ALT flap to cover a soft tissue defect around the knee.

Reconstruction of Extensive Soft Tissue Defects of Lower Extremity With the Extended Anterolateral Thigh Flap

2021 ◽  
pp. 153473462098223
Author(s):  
Jong-Ho Kim ◽  
Hyokyung Yoo ◽  
Seokchan Eun
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Distal Portion ◽  
Outcome Data ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Defects ◽  
Flap Viability ◽  
Anterolateral Thigh ◽  
Large Skin ◽  
Tissue Defects

The anterolateral thigh flap is a classic flap used for various reconstruction defects. However, the flap viability of extended large skin paddles (ie, 240 cm2) was doubted by many surgeons. This study reports successful experience of reconstructing extensive soft tissue defects of lower extremity using extended large skin paddles. Twelve consecutive patients who had undergone reconstruction of defects using an extended anterolateral thigh flap were identified. Patient characteristics (age, sex, defect location, injured structures, and type of flap) and outcome data were analyzed retrospectively. One artery and 2 accompanying veins were anastomosed to vascularize each flap. Follow-up periods ranged from 10 to 91 months postoperatively. The average size of the flaps was 268.75 cm2 (range = 220-391 cm2). All flaps were perforator flaps with one perforator except that 2 perforators were used in 3 patients. Two patients suffered partial flap necrosis of the distal portion with delayed healing. In conclusion, the extended anterolateral thigh flap is a considerable option for massive defects requiring composite tissue coverage. This flap is advantageous for reconstructing various complex defects in the lower extremities, providing a pliable and vascularized tissue to cover exposed extensive defects including tendons, nerves, and bones.

Free hemiback flap with surgical delay for reconstruction of extensive soft tissue defect: A case report

Microsurgery ◽  
2012 ◽  
Vol 33 (2) ◽  
pp. 152-155 ◽  
Author(s):  
Masao Fujiwara ◽  
Takeshi Nagata ◽  
Yuki Matsushita ◽  
Hidekazu Fukamizu
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissue Defect ◽  
Surgical Delay ◽  
Tissue Defect
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