Evaluation of applicability of free anterolateral thigh flap in limbs injuries

Abstract EN

Free anterolateral thigh flap is considered as the work horse for reconstruction of different body areas, this study is designed for evaluation of its applicability for reconstruction of limb injuries.

Free ALT flap is a sort of perforator flap, 1st described by Song et al in 1984 & since that time it has been evolved as a versatile flap that is able to harbor multiple combination of tissues [1].

Fifteen free anterolateral thigh flaps were used to cover soft tissue defects of upper or lower limb injuries during the period from April 2010 to April 2013.

The patients’ data are summarized in table no.

(1).

of the fifteen flaps, one flap (6 %) suffered total necrosis in a patient with spine bifida with senseless deformed fee t; another flap (6 %) underwent partial necrosis.

Free ALT flap is safe, applicable & somewhat easy flap when anatomical consideration is respected.

anterolateral thigh flap, free ALT flap.

Abbreviations : ALT flap : anterolateral thigh flap LCFA : lateral femoral circumflex artery FA : femoral artery SFA : superficial femoral artery ASIS : anterior superior iliac spine S.T : soft tissue.