Split anterolateral thigh free flaps for bilateral open fracture ankle defects: A one donor, two flap solution

Soft tissue reconstruction in bilateral ankle defects associated with lower limb trauma is complex and challenging. There is limited application of split free anterolateral (ALT) thigh flaps in lower limb reconstruction. This case report highlights a novel and efficient method that utilised a single donor site for the harvest of split ALT, with independent pedicles, to reconstruct bilateral simultaneous medial and lateral ankle defects.