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Bone Remodeling

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Thin and Thinned Anterolateral Thigh Flaps for Upper Extremity Reconstruction.

Cristin L Coquillard1, Jennifer Bai1, Jason H Ko2

  • 1Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Northwestern University, 259 East Erie Street Suite 2060, Chicago, IL 60611, USA.

Hand Clinics
|March 29, 2024
PubMed
Summary

Thin anterolateral thigh (ALT) flaps offer excellent functional and esthetic outcomes for upper extremity reconstruction. This review details their use, including anatomy, planning, and surgical techniques for improved results.

Keywords:
Free flapMicrosurgeryThin ALT flapUpper extremity reconstruction

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Area of Science:

  • Microsurgery
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Upper extremity reconstruction presents significant functional and esthetic challenges.
  • The anterolateral thigh (ALT) flap is a versatile option for complex reconstructions.
  • Thin flaps are often preferred for improved outcomes in upper extremity microsurgery.

Purpose of the Study:

  • To review the utility of thin and thinned anterolateral thigh (ALT) flaps in upper extremity reconstruction.
  • To discuss the anatomical considerations, preoperative planning, and surgical techniques for ALT flap elevation.
  • To present case studies demonstrating the benefits of ALT flaps.

Main Methods:

  • Review of relevant literature on ALT flap applications in upper extremity reconstruction.
  • Detailed description of the anatomy and surgical elevation techniques for ALT flaps.
  • Presentation and analysis of 4 illustrative patient cases.

Main Results:

  • Thin and thinned ALT flaps can be successfully elevated to meet the specific needs of upper extremity reconstruction.
  • The described techniques allow for precise flap contouring to optimize functional and esthetic results.
  • Case examples highlight the positive outcomes achieved with this reconstructive approach.

Conclusions:

  • Thin and thinned ALT flaps are a valuable tool for achieving superior functional and esthetic results in upper extremity reconstruction.
  • Meticulous preoperative planning and surgical technique are crucial for successful ALT flap outcomes.
  • The versatility of the ALT flap makes it a reliable option for complex upper extremity defects.