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Related Experiment Video

Updated: Jun 21, 2026

Engineered Vascularized Muscle Flap
08:18

Engineered Vascularized Muscle Flap

Published on: January 11, 2016

Anterolateral thigh flap.

Chin-Ho Wong1, Fu-Chan Wei

  • 1Department of Plastic Reconstructive and Aesthetic Surgery, Singapore General Hospital, Outram Road, 169608, Singapore. wchinho@hotmail.com

Head & Neck
|August 13, 2009
PubMed
Summary
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The anterolateral thigh (ALT) flap offers versatile reconstruction options. This study details its vascular anatomy and a reliable harvest technique, overcoming anatomical variations for consistent results.

Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Anatomy

Background:

  • The anterolateral thigh (ALT) flap is a widely used, versatile soft tissue flap in reconstructive surgery.
  • It can be modified into various forms, including fasciocutaneous, myocutaneous, flow-through, and chimeric flaps, to suit diverse clinical needs.
  • Despite its versatility, anatomical variations can pose challenges to its reliable harvest.

Purpose of the Study:

  • To clarify the intricate vascular anatomy of the anterolateral thigh flap.
  • To present a standardized approach for flap harvest that addresses and overcomes encountered anatomical anomalies.
  • To enhance the reliability and consistency of ALT flap reconstruction.

Main Methods:

  • Detailed anatomical dissection and review of vascular supply to the anterolateral thigh.

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  • Elaboration of a systematic surgical technique for ALT flap harvesting.
  • Analysis of flap modifications, including fasciocutaneous, myocutaneous, flow-through, and chimeric designs.

    • Main Results:

    • The study provides a comprehensive understanding of the vascular pedicle and tissue components of the ALT flap.
    • A reliable method for harvesting the ALT flap, even with anatomical variations, is described.
    • The minimal morbidity associated with harvesting large tissue volumes from the lateral thigh is highlighted.

    Conclusions:

    • The anterolateral thigh flap is a highly adaptable and reliable option for soft tissue reconstruction.
    • Understanding the detailed vascular anatomy and employing a systematic harvest approach ensures successful flap utilization despite anatomical variations.
    • This technique aims to improve reconstructive outcomes and minimize donor site morbidity.