Related Experiment Video
Updated: Mar 15, 2026
Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation
Published on: June 13, 2025
Optimizing functional upper extremity reconstruction-Simultaneous free anterolateral thigh flap and tendon
Sarah C Sorice1, Barry Press2, Arash Momeni1
1Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Palo Alto, CA.
This study presents a successful case of forearm reconstruction using tendon transfers and an anterolateral thigh flap for a complex defect. The combined approach restored function and achieved excellent patient outcomes.
Area of Science:
- Orthopedic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Composite upper extremity defects, involving muscle-tendon units, present significant reconstructive challenges.
- Functional restoration and soft-tissue coverage are paramount in these complex cases.
Observation:
- A case of composite forearm defect following Merkel cell cancer resection is presented.
- The defect involved extensor muscle-tendon units requiring functional restoration.
Findings:
- Multiple tendon transfers were performed for functional restoration.
- A free anterolateral thigh (ALT) flap provided soft-tissue coverage.
- The procedure resulted in complete flap survival and no donor/recipient site complications.
Implications:
- Simultaneous tendon transfers and microsurgical tissue transfer offer a potentially superior approach for complex upper extremity reconstruction.
- This technique achieved excellent functional outcomes and high patient satisfaction.
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