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Hand reconstruction using the thin anterolateral thigh flap.

Roberto Adani1, Luigi Tarallo, Ignazio Marcoccio

  • 1Department of Orthopedic Surgery, University of Modena and Reggio Emilia, Modena, Italy. adani.roberto@unimo.it

Plastic and Reconstructive Surgery
|August 5, 2005
PubMed
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The thin anterolateral thigh flap is effective for reconstructing hand defects, offering good contour and low donor site morbidity. This versatile flap is ideal for various hand injuries and scar contractures.

Area of Science:

  • Microsurgery
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Perforator flaps are utilized for reconstruction and resurfacing.
  • The free thin anterolateral thigh flap is a preferred choice for soft-tissue defect reconstruction.

Observation:

  • The study evaluated nine patients (eight males, one female; mean age 31) between 1999-2002.
  • The anterolateral thigh flap was used for hand defects resulting from burns, crushing injuries, or scar contracture release.
  • Flap sizes ranged from 7 x 3.5 cm to 15 x 9 cm, with all flaps thinned.

Findings:

  • All nine free thin anterolateral thigh flaps survived completely.
  • Donor sites were closed directly in seven cases; two required split-thickness skin grafts for exposed muscle coverage.

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  • The flap proved sufficiently thin for defects on the dorsum, palm, and first web of the hand.

    • Implications:

    • The anterolateral thigh flap offers advantages in free flap surgery, including a long pedicle and suitable vessel diameter.
    • It provides good hand contour with acceptable donor-site morbidity.
    • This versatile flap is a valuable option for complex hand reconstructions.