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Updated: Jun 16, 2026

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

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Anterolateral thigh flap for trauma reconstruction.

Johnson C Lee¹, Hugo St-Hilaire, Michael R Christy

¹Division of Plastic, Reconstructive and Maxillofacial Surgery, R Adams Cowley Shock Trauma Center, 22 South Greene Street, Baltimore, MD 21201, USA.

Annals of Plastic Surgery

|January 26, 2010

Summary

The anterolateral thigh (ALT) flap is a reliable option for reconstructing traumatic injuries, showing a 96% success rate in a large patient review. This versatile flap is suitable for various body regions, including extremities and head/neck.

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Area of Science:

Reconstructive Surgery
Trauma Surgery
Microsurgery

Background:

High-velocity injuries often necessitate complex reconstructive techniques.
Free muscle flaps have been the traditional method for covering such defects.
The anterolateral thigh (ALT) flap offers a potential alternative for reconstruction.

Purpose of the Study:

To evaluate the efficacy and versatility of the anterolateral thigh (ALT) flap.
To assess its utility as a primary reconstructive choice for traumatic injuries.
To analyze outcomes in a Western patient population.

Main Methods:

Retrospective chart review of 122 patients undergoing 127 ALT flap reconstructions.
Data collected included defect characteristics, flap details, surgical parameters, and complications.

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Published on: June 8, 2013

Engineered Vascularized Muscle Flap

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Analysis of flap success rates and anatomical distribution of reconstructions.

Main Results:

The ALT flap was successfully used in 96% of reconstructions (122/127).
Lower extremity reconstruction was most common (74%), followed by head/neck (12%) and upper extremity (11%).
Flap failures included 3 total and 2 partial failures, with an average follow-up of 9.3 months.

Conclusions:

The anterolateral thigh (ALT) flap is a reliable and versatile option for reconstructing composite traumatic injuries.
Its high success rate supports its use as a primary choice in trauma reconstruction.
The flap demonstrates broad applicability across various anatomical locations.