Comparison of fasciocutaneous and fascial anterolateral thigh free flaps in foot reconstruction

Purpose: This study compared the surgical outcomes and quality of life patients who underwent fasciocutaneous fascial anterolateral thigh (ALT) free flaps for reconstruction traumatic soft tissue defects in foot.Methods: A single-institution retrospective review medical data from 2008 to 2021 was conducted on 20 a ALT flap or foot. Information collected patients’ baseline information, preoperative characteristics, postoperative courses. Quality measured through Foot Ankle Disability Index (FADI) score. questionnaire survey administered evaluate aesthetic satisfaction subjective improvement dryness sensory function at site.Results: The mean dimensions were 13.96×4.58 cm 10.75×3.50 groups, respectively. overall failure complication rates higher group (total necrosis one case, partial loss two cases, vascular complications three cases). While functional (FADI Sports) showed better group, recovery results group.Conclusion: In comparison flaps, demonstrated lower wound complications, satisfaction, outcomes, but less site. Therefore, choice foot should depend plastic surgeon’s discretion thorough discussion with patient.