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[Anterolateral thigh flap. Retrospective study].

J Tiguemounine1, A Picard, E Fassio

  • 1Service de chirurgie plastique reconstructrice et esthétique, centre hospitalier universitaire de Tours, 37044 Tours cedex 1, France. jean.tigue@wanadoo.fr

Annales De Chirurgie Plastique Et Esthetique
|February 8, 2005
PubMed
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The anterolateral thigh flap offers reliable reconstructive results for soft tissue defects when surgical techniques are strictly followed. This versatile flap is suitable for various anatomical locations, demonstrating good to very good outcomes in most cases.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • The anterolateral thigh flap is a versatile cutaneous or fasciocutaneous perforator flap.
  • Its use is widespread in East Asia but less common in Europe, potentially due to perceived variability in perforator anatomy.
  • This study evaluates the reliability and outcomes of anterolateral thigh flaps in a European context.

Purpose of the Study:

  • To assess the efficacy and reliability of the anterolateral thigh flap for soft tissue reconstruction.
  • To evaluate the functional outcomes at the donor site.
  • To document the success rates and complications associated with this reconstructive technique.

Main Methods:

  • A retrospective review of 13 anterolateral thigh flaps (11 free, 2 pedicled) performed between 1998 and 2002.

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  • Flaps were used for soft tissue defects in the floor of the mouth, limbs, and inguinal-iliac region.
  • Patient outcomes were assessed via surgeon evaluation and donor site function assessment (questionnaire and physical examination).

    • Main Results:

    • 11 out of 13 flaps (84.6%) were evaluated as good or very good by the surgeon.
    • One flap was lost (resulting in a 'bad' outcome), and one had a 'fair' result.
    • Three free flaps required re-exploration due to venous thrombosis; one of these necrosed. No functional impairment at the donor site was reported.

    Conclusions:

    • The anterolateral thigh flap is a reliable option for soft tissue reconstruction when meticulous surgical technique is employed.
    • The flap demonstrates a high success rate and satisfactory functional outcomes for the donor site.
    • Despite potential complications like venous thrombosis, the overall reconstructive results are highly encouraging.