INTRODUCTION The study aimed to explore the effect of microdissected thin anterolateral thigh (MTALT) perforator flap with multiple perforators on patients with complex defects on the hand, elbow, heel, or knee. METHODS From March 2012 to February 2013, 5 patients with complex defects on the hand, elbow, heel, or knee were included. During the flap preparation, 2 to 3 perforators penetrating ...

Although abdominal tissue remains the gold standard in autologous breast reconstruction,1 other donor sites like buttocks, thigh, dorsal area are often used. The posterior thigh flap was first described in 1980 by Hurwitz and posteriorly transferred as a free flap by Song et al. in 1984. Pap flap has gained popularity, as it offers a favorable response based on a consistent vascular anatomy, ea...

BACKGROUND The reconstruction of the posterior trunk, especially with large dead spaces, remains challenging. Regional muscle flaps may lack adequate volume and reach. The purpose of this report was to evaluate the efficacy of deepithelialized free-style perforator-based propeller flaps to obliterate defects with large dead space. METHODS A total of 7 patients with defects on the posterior tr...

BACKGROUND The gluteal artery perforator free flap represents the state of the art in autogenous breast reconstruction for the patient with insufficient abdominal donor tissue. Preservation of the gluteal musculature limits morbidity and allows for rapid patient recovery. The need for intraoperative repositioning has historically limited gluteal artery perforator flap breast reconstruction to o...

With an aging population, free flap reconstruction for head and neck cancer ablation in the elderly is becoming more commonplace. In nonagenarians, however, such major operations are still rarely offered due to its physiological demands. We report the first case of successful resection and reconstruction of head and neck cancer with a free perforator flap in a 96 year old patient. We feel that ...

UNLABELLED The perforator vessels are highly variable in number, localization types, hemodynamic specifications, and the anatomical interactions with other structures. For these reasons, the identification of the best perforator before the operation is very important for the choice of the main feed vessel and the design of the perforator flap. METHODS The authors retrospectively analyzed all ...

•We describe bilateral groin reconstruction with a single anterolateral thigh flap.•Anatomy and surgical technique of the anterolateral thigh flap are discussed.

Soft tissue reconstruction around the knee joint is usually complex for reconstructive surgeons. Defects in this area are largely caused by trauma, chronic infection, tumor, and surgical infection. In this article, we report a case of using anterior tibial artery perforator flap for reconstructing soft tissue defect around the knee joint. The patient was a 45-year-old male with an open patella ...

Preoperative imaging is essential for abdominal perforator flap breast reconstruction because it allows for preoperative perforator selection, resulting in improved operative efficiency and flap design. The benefits of visualizing the vasculature preoperatively also extend to gluteal artery perforator flaps. Initially, our practice used computed tomography angiography (CTA) to image the gluteal...