Anterolateral thigh flap technique in hand and upper extremity reconstruction

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Microsurgery

Background:

• The anterolateral thigh flap is a reconstructive option introduced in 1984.
• It is supplied by the lateral circumflex femoral artery system.
• This flap can be designed in various ways, including skin, fasciocutaneous, or musculocutaneous.

Purpose of the Study:

• To describe the technique for harvesting the anterolateral thigh flap.
• To highlight the versatility and applications of this flap in reconstruction.
• To discuss potential complications and donor site morbidity.

Main Methods:

• Detailed description of the anterolateral thigh flap harvesting technique.
• Explanation of perforator vessel (septocutaneous or musculocutaneous) selection.
• Inclusion of methods for creating a sensate flap using the lateral cutaneous nerve of the thigh.

Main Results:

• The anterolateral thigh flap can be designed as a skin and subcutaneous, fasciocutaneous, or musculocutaneous flap.
• It can be harvested as a sensate flap by incorporating the lateral cutaneous nerve of the thigh.
• The flap is particularly useful for upper extremity reconstruction due to its versatility.

Conclusions:

• The anterolateral thigh flap is a highly versatile reconstructive option.
• Proper technique minimizes risks such as flap failure and donor site morbidity.
• Its adaptability makes it ideal for complex reconstructions, especially in the upper extremity.