Anterolateral thigh flow-through flap in hand salvage

Area of Science:

• Plastic Surgery
• Hand Surgery
• Microsurgery

Background:

• Hand salvage and reconstruction are complex procedures, especially in aging populations.
• Preserving functional anatomy is critical for successful outcomes.
• Innovative reconstructive techniques are often necessary.

Purpose of the Study:

• To report a case of successful hand salvage in an elderly patient.
• To highlight the use of a free anterolateral thigh flow-through flap for hand reconstruction.
• To demonstrate the flap's ability to restore both soft tissue and vascular anatomy.

Main Methods:

• A retrospective chart review of prospectively entered data was conducted.
• Indications, radiographs, and follow-up visits were analyzed.
• A free anterolateral thigh flap was utilized for soft tissue coverage and palmar arch reconstruction.

Main Results:

• The free anterolateral thigh flap successfully reconstructed the hand's soft tissue envelope.
• Functional vascular anatomy was restored by reconstituting the superficial palmar arch.
• The patient experienced an uneventful recovery with no complications.

Conclusions:

• The free anterolateral thigh flap is a versatile and innovative option for hand salvage.
• This flap can effectively restore both soft tissue and vascular integrity in the hand.
• It offers a valuable solution for complex hand reconstruction challenges.