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Published on: January 15, 2017
Anterolateral thigh flap: an ideal soft tissue flap
1Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, 9, Alley 23, Lane 76, Section 2, Ho-ping East Road, Taipei, Taiwan. phoebe@ha.mc.ntu.edu.tw
Clinics in Plastic Surgery
|August 15, 2003
Summary
The anterolateral thigh flap offers reliable vascularity and a large harvest area for microsurgical reconstruction. This versatile flap minimizes donor site morbidity, improving functional and aesthetic outcomes.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Microsurgical reconstruction success rates approach 100%.
- Current focus is on refining functional/aesthetic results and reducing donor site morbidity.
- The anterolateral thigh flap is a key innovation addressing these concerns.
Purpose of the Study:
- To highlight the characteristics and applications of the anterolateral thigh flap.
- To demonstrate its suitability for improving reconstructive surgery outcomes.
Main Methods:
- Detailed description of anterolateral thigh flap harvest.
- Discussion of its vascular pedicle (long, large), territory (up to 40x20 cm), and thickness adaptability.
- Inclusion of chimeric components (muscle, fascia, bone) and two-team approach feasibility.
Main Results:
- Reliable vascularity and a long, large vascular pedicle (8-20 cm).
- Large, adaptable flap territory suitable for diverse reconstructions.
- Primary closure possible for flaps <8 cm wide, with minimal impact on donor site function.
Conclusions:
- The anterolateral thigh flap is a versatile and reliable option for microsurgical reconstruction.
- It effectively meets the demands for improved functional and aesthetic results with reduced donor site morbidity.
- Careful planning and execution are essential for optimal outcomes.
