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Free anterolateral thigh flaps for upper extremity soft tissue reconstruction
Nick Spindler1, Sammy Al-Benna2, Andrej Ring3
1Abteilung für Plastische, Ästhetische und Spezielle Handchirurgie, Klinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinik Leipzig, Deutschland.
GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
|October 28, 2015
Summary
Free anterolateral thigh (ALT) flaps offer a reliable solution for challenging upper extremity soft tissue reconstruction. This study shows a high success rate, demonstrating ALT flaps as a valuable option for limb salvage.
Area of Science:
- Microsurgery
- Plastic Surgery
- Orthopedic Surgery
Background:
- Limb-threatening upper extremity wounds present significant challenges for microsurgeons.
- Effective soft tissue reconstruction is crucial for limb salvage and functional recovery.
Purpose of the Study:
- To evaluate the outcomes of free anterolateral thigh (ALT) flaps for upper extremity soft tissue reconstruction.
- To analyze the success rates, complications, and patient demographics associated with ALT flap use in this context.
Main Methods:
- A retrospective review of 32 patients who underwent ALT flap reconstruction for upper extremity defects between 2005 and 2012.
- Analysis of demographic data, perioperative factors, complications, and functional outcomes.
Main Results:
- The anterolateral thigh (ALT) flap demonstrated a high success rate of 92.3% in reconstructing upper extremity defects.
- Common etiologies included infection (44.6%), post-tumor ablation (40%), and trauma (15.6%).
- Partial flap necrosis occurred in 15.6% of cases, with complete flap loss in 2 post-traumatic cases.
Conclusions:
- Free anterolateral thigh (ALT) flaps provide reliable and effective coverage for upper extremity soft tissue defects.
- This technique is a valuable option for limb salvage when performed by experienced microsurgical teams.
