Two Cases of Distal Anterolateral Thigh Flap

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DOI: 10.4236/ss.2013.43035    2,832 Downloads   4,088 Views  

ABSTRACT

We report our experience with two cases of anterolateral thigh flaps based on the musculocutaneous perforators arising from a more distal part of the descending branch than in the conventional anterolateral thigh flap. Case 1: A 53-year-old man with a skin ulcer over the anterior surface of the left tibia secondary to plate fixation for an open fracture. The perforator marked with preoperative Doppler was located 8 cm proximal to the superior border of the patella. Without thinning, the flap was 10 × 4 cm in size and 5 mm thick. Case 2: A 46-year-old man with necrosis of the right index finger after replantation. The flap was 5 × 3 cm in size and 3 mm in thickness. This distal anterolateral thigh flap can be raised as a quite thin flap with a long pedicle and, therefore, is considered useful in the reconstruction of various soft tissue defects.

Cite this paper

M. Saito, N. Kimura, M. Tnegawa, Y. Tomizuka, T. Tsukakoshi and M. Onda, "Two Cases of Distal Anterolateral Thigh Flap," Surgical Science, Vol. 4 No. 3, 2013, pp. 189-191. doi: 10.4236/ss.2013.43035.

References

[1] D. C. Xu, S. Z. Zhong, J. M. Kong, et al., “Applied Anatomy of the Anterolateral Femoral Flap,” Plastic & Reconstructive Surgery, Vol. 82, No. 2, 1988, pp. 305-310. doi:10.1097/00006534-198808000-00016
[2] K.-D. Wolff and A. Grundmann, “The Free Vastus Lateralis Flap: An Anatomic Study with Case Reports,” Plastic & Reconstructive Surgery, Vol. 89, No. 3, 1992, pp. 469-475. doi:10.1097/ 00006534-199203000-00012
[3] N. Kimura, K. Satoh and Y. Hosaka, “Microdissected Thin Perforator Flaps: 46 Cases,” Plastic & Reconstructive Surgery, Vol. 112, No. 7, 2003, pp. 1875-1885. doi:10.1097/ 01.PRS.0000091248.41007.2D

  
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