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Sole reconstruction using anterolateral thigh perforator free flaps.

Joon Pio Hong1, Eun Key Kim

  • 1Seoul, Korea From the Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine.

Plastic and Reconstructive Surgery
|January 27, 2007
PubMed
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The anterolateral thigh perforator flap offers a reliable solution for sole reconstruction, achieving good functional and aesthetic outcomes. This method provides a durable weight-bearing surface and restores protective sensation in the foot.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Sole reconstruction aims for functional and aesthetic restoration.
  • Achieving durable weight-bearing, contour, sensation, and tissue anchoring is crucial.
  • Perforator flaps are anatomically advantageous for sole reconstruction.

Observation:

  • 69 patients with plantar soft-tissue defects underwent anterolateral thigh perforator free flap reconstruction.
  • Sensory nerve coaptation was performed in 17 patients.
  • Follow-up ranged from 4 to 38 months (mean 14.7 months).

Findings:

  • 4-6mm thick anterolateral thigh perforator flaps yielded satisfactory aesthetic and functional results.
  • Flap survival was high (1 case failure); minor complications healed secondarily.
  • Patients achieved partial weight-bearing by 3 weeks and acceptable gait by 3 months.

Related Experiment Videos

  • Protective sensation returned by 12 months, with earlier recovery in sensate flaps.

    • Implications:

    • The anterolateral thigh perforator flap is a dependable option for sole reconstruction.
    • This technique provides acceptable functional and aesthetic results for weight-bearing foot defects.
    • It restores crucial protective sensation, enhancing overall patient outcomes.