TY - JOUR
T1 - Versatile application of pedicled anterolateral thigh flaps in reconstruction
AU - Tzeng, Yuan-Sheng
AU - Chang, Shun-Cheng
AU - Dai, Niann-Tzyy
AU - Deng, Shou-Cheng
AU - Wang, Chih-Hsin
AU - Chen, Tim-Mo
AU - Chen, Shyi-Gen
N1 - Export Date: 21 March 2016
通訊地址: Chen, S.-G.; Division of Plastic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Cheng-gong Road, Taipei 114, Taiwan; 電子郵件： [email protected]
參考文獻: Song, Y.G., Chen, G.Z., Song, Y.L., The free thigh flap: A new free flap concept based on the septocutaneous artery (1984) Br J Plast Surg, 37, pp. 149-159; Koshima, I., Nanba, Y., Tsutui, T., Takahashi, Y., Itoh, S., Perforator flaps in lower extremity reconstruction (2002) Handchir Mikrochir Plast Chir, 34, pp. 251-256; Wei, F.C., Jain, V., Celik, N., Chen, H.C., Chuang, D.C., Lin, C.H., Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps (2002) Plast Reconstr Surg, 109, pp. 2219-2226; Koshima, I., Tai, T., Yamasaki, M., One-stage reconstruction of the penis using an innervated radial forearm osteocutaneous flap (1986) J Reconstr Microsurg, 3, pp. 19-26; Tzeng, Y.S., Yu, C.C., Chou, T.D., Chen, T.M., Chen, S.G., Proximal pedicled anterolateral thigh flap for reconstruction of trochanteric defect (2008) Ann Plast Surg, 61, pp. 79-82. , doi: 10.1097/SAP.0b013e318151fb5b; Wang, C.H., Chen, S.Y., Fu, J.P., Dai, N.T., Chen, S.L., Chen, T.M., Chen, S.G., Reconstruction of trochanteric pressure sores with pedicled anterolateral thigh myocutaneous flaps (2011) J Plast Reconstr Aesthet Surg, 64, pp. 671-676. , doi: 10.1016/j.bjps.2010.08.042; Lin, C.T., Chen, S.G., Chen, T.M., Fu, J.P., Reconstruction of a large abdominal wall defect by using a pedicled vastus lateralis muscle flap: A case report and literature review (2011) J Med Sci, 31, pp. 279-282. , doi:10.6136/JMS.2011.31(6).279; Ou, K.W., Wei, L.G., Chen, S.I., Chen, S.G., Reverse anterolateral thigh flap for salvage of infected and exposed knee prostheses-a case report and review of the literature (2012) J Taiwan Soc of Plast Surg, 21, pp. 158-163; Luo, S., Raffoul, W., Piaget, F., Egloff, D.V., Anterolateral thigh fasciocutaneous flap in the difficult perineogenital reconstruction (2000) Plast Reconstr Surg, 105, pp. 171-173; Ahmad, Q.G., Reddy, M., Shetty, K.P., Prasad, R., Hosi, J.S., Bhathena, M., Groin reconstruction by anterolateral thigh flap: A review of 16 cases (2004) Indian J Plast Surg, 37, pp. 34-39; Evriviades, D., Raurell, A., Perks, G.B., Pedicled anterolateral thigh flap for reconstruction after radical groin dissection (2007) Urology, 70, pp. 996-999; Kimata, Y., Uchiyama, K., Sekido, M., Sakuraba, M., Iida, H., Nakatsuka, T., Harii, K., Anterolateral thigh flap for abdominal wall reconstruction (1999) Plast Reconstr Surg, 103, pp. 1191-1197; Chang, S.H., Anterolateral thigh island pedicled flap in trochanteric pressure sore reconstruction (2007) J Plast Reconstr Aesthet Surg, 60, pp. 1074-1075; Cunha-Gomes, D., Bembde, R., Bhathena, H., Kavarana, N.M., The pedicled anterolateral thigh island flap for inguinal defects (2000) Eur J Plast Surg, 23, pp. 97-100; Cunha-Gomes, D., Bhathena, H., Kavarana, N.M., The anterolateral thigh flap: A versatile pedicled and free flap transfer (2001) Eur J Plast Surg, 24, pp. 80-84; Gravvanis, A.I., Tsoutsos, D.A., Karakitsos, D., Panayotou, P., Iconomou, T., Zografos, G., Karabinis, A., Papadopoulos, O., Application of the pedicled anterolateral thigh flap to defects from the pelvis to the knee (2006) Microsurgery, 26, pp. 432-438; Hsieh, C.H., Huang, K.F., Jeng, S.F., Tsai, H.H., Yang, J.C., Chiang, Y.C., Reconstruction of open pelvic fracture skin defect with an anterolateral thigh island flap: A case report (2007) J Trauma, 62, pp. 1277-1280; Lee, J.T., Cheng, L.F., Lin, C.M., Wang, C.H., Huang, C.C., Chien, S.H., A new technique of transferring island pedicled anterolateral thigh and vastus lateralis myocutaneous flaps for reconstruction of recurrent ischial pressure sores (2007) J Plast Reconstr Aesthet Surg, 60, pp. 1060-1066; Ng, R.W., Chan, J.Y., Mok, V., A modification of technique to cover a large posterior thigh defect using an anterolateral thigh flap (2008) Ann Plast Surg, 61, pp. 201-203. , doi: 10.1097/SAP.0b013e318158a013; Ng, R.W., Chan, J.Y., Mok, V., Li, G.K., Clinical use of a pedicled anterolateral thigh flap (2008) J Plast Reconstr Aesthet Surg, 61, pp. 158-164; Rees, L., Moses, M., Clibbon, J., The anterolateral thigh (ALT) flap in reconstruction following radical excision of groin and vulval hidradenitis suppurativa (2007) J Plast Reconstr Aesthet Surg, 60, pp. 1363-1365; Wang, X., Qiao, Q., Burd, A., Liu, Z., Zhao, R., Wang, C., Zeng, A., Perineum reconstruction with pedicled anterolateral thigh fasciocutaneous flap (2006) Ann Plast Surg, 56, pp. 151-155; Nahai, F., Silverton, J.S., Hill, H.L., Vasconez, L.O., The tensor fasciae latae musculocutaneous flap (1978) Ann Plast Surg, 1, pp. 372-379; Friji, M.T., Suri, M.P., Shankhdhar, V.K., Ahmad, Q.G., Yadav, P.S., Pedicled anterolateral thigh flap: A versatile flap for difficult regional soft tissue reconstruction (2010) Ann Plast Surg, 64, pp. 458-461. , doi: 10.1097/ SAP.0b013e3181b4bc70
PY - 2013
Y1 - 2013
N2 - Background: Reconstruction of extensive defects of the lower abdomen, trochanter, groin and knee without using complex microsurgery is a reconstructive challenge. Pedicled anterolateral thigh (ALT) flaps offer many advantages over other regional flaps for this purpose, such as the large skin area and soft-tissue availability, a remarkable pedicle length, and possessing multiple components and reliability. We present our experience of using pedicled ALT flaps for repairing various defects. Methods: From September 2006 to October 2012, 32 pedicled ALT flaps were used in 31 patients for defects of the lower abdomen (3 patients), trochanter (26 patients), groin (1 patient) and knee (1 patient). Eighteen of the patients were male (58%) and the age ranged from 22 to 103 years. The flap size ranged from 8×5 cm (40 cm2) to 9×20 cm (180 cm2). Results: Satisfactory coverage was achieved in all patients. Conclusions: Our experience has shown the wide arc of rotation, large skin replacement potential, multiple components and reliability of pedicled ALT flaps. © 2013 JMS.
AB - Background: Reconstruction of extensive defects of the lower abdomen, trochanter, groin and knee without using complex microsurgery is a reconstructive challenge. Pedicled anterolateral thigh (ALT) flaps offer many advantages over other regional flaps for this purpose, such as the large skin area and soft-tissue availability, a remarkable pedicle length, and possessing multiple components and reliability. We present our experience of using pedicled ALT flaps for repairing various defects. Methods: From September 2006 to October 2012, 32 pedicled ALT flaps were used in 31 patients for defects of the lower abdomen (3 patients), trochanter (26 patients), groin (1 patient) and knee (1 patient). Eighteen of the patients were male (58%) and the age ranged from 22 to 103 years. The flap size ranged from 8×5 cm (40 cm2) to 9×20 cm (180 cm2). Results: Satisfactory coverage was achieved in all patients. Conclusions: Our experience has shown the wide arc of rotation, large skin replacement potential, multiple components and reliability of pedicled ALT flaps. © 2013 JMS.
KW - Anterolateral thigh flap
KW - Groin defect
KW - Knee defect
KW - Lower abdominal defect
KW - Pedicled flap
KW - abdominal injury
KW - adult
KW - aged
KW - anterolateral thigh flap
KW - article
KW - bladder rupture
KW - clinical article
KW - cystostomy
KW - debridement
KW - decubitus
KW - female
KW - follow up
KW - hip injury
KW - human
KW - inguinal region
KW - knee injury
KW - male
KW - outcome assessment
KW - patient satisfaction
KW - pedicled skin flap
KW - pelvis fracture
KW - prosthesis infection
KW - skin defect
KW - skin island flap
KW - surgical approach
KW - wound healing
U2 - 10.6136/JMS.2013.33(4).177
DO - 10.6136/JMS.2013.33(4).177
M3 - Article
SN - 1011-4564
VL - 33
SP - 177
EP - 182
JO - Journal of Medical Sciences (Taiwan)
JF - Journal of Medical Sciences (Taiwan)
IS - 4
ER -