Pedicled Anterior Lateral Thigh Flap in Managing a Bilateral Groin Contracture

Pedicled Anterior Lateral Thigh Flap in Managing a Bilateral Groin Contracture

A fifteen-year-old female patient presented with a severe bilateral groin contracture for the last 8 years. She had sustained burns at the age of seven years. Three attempts to release the contracture with split thickness skin grafts had been done without success. A pedicled anterior lateral thigh flap was raised and advanced into the defect after the contracture had been released. Postoperativ...

Contralateral Pedicled Anterolateral Thigh Flap (ATL) for Upper Thigh Defect in the Era of Free ATL?

Versatility of Anterolateral Thigh Perforator Flap as a Pedicled Flap

The pedicled anterolateral thigh (ALT) flap based on septocutanous or musculocutanous perforators of the lateral circumflex femoral system is a reliable flap. The use of ALT flap as a pedicled flap is relatively unpopular if compared with its use as a free flap. The flap can be raised as a fasciocutaneous or muscle flap or myocutaneous flap. The pedicled flap has got a lengthy pedicle with a li...

External fixator immobilisation of a pedicled groin flap

BACKGROUND Pedicled fl aps can still be a useful part of the reconstructive surgical toolbox. Their stabilisation is crucial to prevent shearing forces causing fl ap failure. This can be challenging using traditional dressings so different stabilisation methods have been described including plaster of Paris and topical negative pressure dressings. These are disadvantaged by limiting fl ap obser...

Anterior lateral thigh osteomyocutaneous free flap reconstruction in the head and neck: The anterolateral thigh osteomyocutaneous femur bone flap.

BACKGROUND The anterolateral thigh (ALT) free flap is one of the most commonly used donor sites in head and neck reconstruction, however, it is not typically considered when an osseous component is needed. METHODS Soft tissue harvests, cadaveric study, and retrospective analysis of a series of 10 patients undergoing angiography were performed to assess vascular supply to the femoral cortex. I...