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Algorithmic approach to anterolateral thigh flaps lacking suitable perforators in lower extremity reconstruction
Johnny Chuieng-Yi Lu1, Jonathan Zelken, Chung-Chen Hsu
1Taipei, Taiwan From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, and Chang Gung University.
Plastic and Reconstructive Surgery
|April 4, 2015
Summary
Contingency planning for anterolateral thigh flaps in lower extremity reconstruction ensures comparable outcomes to planned flaps. An algorithm for alternative flap selection, like the tensor fasciae latae flap, reliably achieves similar results.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Anterolateral thigh flap is the preferred method for lower extremity reconstruction.
- Vascular anatomy variations can preclude flap harvest, necessitating contingency planning.
- This study compares outcomes of contingency strategies versus planned anterolateral thigh flaps.
