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Feet Salvage Using Anterolateral Thigh Flaps after Severe Frostbite Injury: A Case Report
Krešimir Martić1,2, Borna Vojvodić3, Božo Gorjanc1
1Department of Plastic, Reconstructive and Aesthetic Surgery, Dubrava University Hospital, Avenija Gojka Šuška 6, 10000 Zagreb, Croatia.
Journal of Personalized Medicine
|April 27, 2024
Summary
Bilateral anterolateral thigh (ALT) free flaps successfully salvaged a refugee’s feet after severe frostbite. This reconstructive surgery restored function, highlighting its efficacy in complex frostbite cases.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Trauma Surgery
Background:
- Frostbite causes severe tissue damage, often requiring amputation.
- Prompt medical intervention is crucial for frostbite management.
- This case report details reconstructive efforts for severe frostbite injuries.
Observation:
- A 19-year-old male refugee presented with extensive frostbite necrosis.
- Necrosis affected multiple toes, exposing metatarsal bones after debridement.
- Bilateral anterolateral thigh (ALT) free flaps were selected for reconstruction.
Findings:
- Successful foot salvage was achieved using bilateral ALT free flaps.
- Staged reconstruction facilitated healing and functional recovery.
- ALT flaps offered a reliable solution with minimal donor site morbidity.
Implications:
- Bilateral ALT flap reconstruction is effective for severe frostbite foot salvage.
- Tailored reconstructive approaches are vital for optimal frostbite outcomes.
- This rare case underscores the significance of ALT flaps in complex frostbite management.
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