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Updated: Aug 26, 2025
10:56
Procurement and Perfusion-Decellularization of Porcine Vascularized Flaps in a Customized Perfusion Bioreactor
Published on: August 1, 2022
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Does leg dominance influence anterolateral thigh flap perforators?
Claudius Illg1, Sabrina Krauss1, Katarzyna Rachunek1
1Department of Hand, Plastic, Reconstructive and Burn Surgery, BG Unfallklinik Tuebingen, Eberhard Karls University, Tuebingen, Germany.
Microsurgery
|October 6, 2022
Summary
Leg dominance does not influence anterolateral thigh (ALT) free flap harvest. Preoperative imaging is recommended for selecting the best donor thigh due to significant individual variations in perforator anatomy.
Area of Science:
- Microsurgery
- Plastic Surgery
- Anatomy
Background:
- Anterolateral thigh (ALT) free flap harvest requires detailed perforator anatomy knowledge.
- Donor site selection may involve preoperative imaging and practical factors.
- Leg dominance's impact on perforator quantity is uncertain.
Purpose of the Study:
- To investigate if leg dominance influences perforator number and anatomy for ALT free flap harvest.
- To compare muscle mass and perfusion between dominant and nondominant legs.
- To guide donor thigh selection for ALT free flaps.
Main Methods:
- Color-coded duplex sonography and infrared thermography used to locate ALT perforators in 24 subjects.
- Perforator number, subcutaneous tissue, and muscle thickness assessed bilaterally.
- Comparison between dominant and nondominant legs.
Main Results:
- No significant difference in perforator numbers or hot spots between dominant and nondominant legs.
- High interindividual variability in perforator quantity observed.
- No significant difference in subcutaneous tissue or muscle thickness.
Conclusions:
- No evidence supports preferring the dominant or nondominant leg for ALT free flap harvesting.
- High interindividual differences necessitate reliance on preoperative imaging for donor thigh selection.
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