Lateral thigh free flap with flow-through vascular pedicle

Area of Science:

• Plastic Surgery
• Microsurgery
• Reconstructive Surgery

Background:

• The lateral thigh flap, supplied by the profunda femoris artery perforators, is not widely utilized.
• Describing an innovative flow-through pedicle technique for this flap.

Observation:

• The flow-through technique simplifies flap transfer and anastomosis, even with deep recipient vessels.
• Successfully reconstructed defects in the leg and forearm in 6 patients.
• Demonstrated predictable anatomy and versatility, allowing for thin skin-alone, fasciocutaneous, or musculocutaneous variations.

Findings:

• The flow-through pedicle lateral thigh flap is a safe and effective reconstructive option.
• Achieved successful outcomes with no flap failures in the observed cases.
• The technique facilitates easy and secure anastomosis, even in challenging recipient site conditions.

Implications:

• This technique enhances the utility of the lateral thigh flap for lower limb reconstruction.
• Offers a reliable and versatile option with minimal donor-site morbidity.
• Simplifies complex reconstructive procedures, potentially improving patient outcomes.