Anterolateral thigh flap: A review of 168 cases

The anterolateral thigh flap based on the descending branch of the lateral circumflex femoral vessel is one of the musculocutaneous or septocutaneous flaps in the thigh. The descending branch of the lateral circumflex femoral vessel has either perforating branches or direct cutaneous branches from t...

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Veröffentlicht in:Microsurgery 1999, Vol.19 (5), p.232-238
Hauptverfasser: Luo, Shengkang, Raffoul, Wassim, Luo, Jinhui, Luo, Lishen, Gao, Jianhua, Chen, Linfeng, Egloff, Daniel V.
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container_end_page 238
container_issue 5
container_start_page 232
container_title Microsurgery
container_volume 19
creator Luo, Shengkang
Raffoul, Wassim
Luo, Jinhui
Luo, Lishen
Gao, Jianhua
Chen, Linfeng
Egloff, Daniel V.
description The anterolateral thigh flap based on the descending branch of the lateral circumflex femoral vessel is one of the musculocutaneous or septocutaneous flaps in the thigh. The descending branch of the lateral circumflex femoral vessel has either perforating branches or direct cutaneous branches from the intermuscular space to the anterolateral femoral skin. Since 1983, we have transferred 168 anterolateral thigh flaps for reconstruction of old burn scars, infected wounds, carcinoma excisions, for coverage of open bone fracture of the lower leg, and for congenital diseases. One hundred fifty‐two cases were free flaps. The other 16 cases were pedicled flaps. The skin branches were divided into four types in our clinical series: musculocutaneous perforators (135/168 [80.4%]); intermuscular cutaneous perforators (16/168 [9.5%]); direct cutaneous branches (14/168 [8.3%]); and tiny cutaneous perforators (3/168 [1.8%]). The results were satisfactory. Only one case resulted in a failure due to tiny cutaneous branches. © 1999 Wiley‐Liss, Inc. MICROSURGERY 19:232–238 1999
doi_str_mv 10.1002/(SICI)1098-2752(1999)19:5<232::AID-MICR5>3.0.CO;2-S
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The descending branch of the lateral circumflex femoral vessel has either perforating branches or direct cutaneous branches from the intermuscular space to the anterolateral femoral skin. Since 1983, we have transferred 168 anterolateral thigh flaps for reconstruction of old burn scars, infected wounds, carcinoma excisions, for coverage of open bone fracture of the lower leg, and for congenital diseases. One hundred fifty‐two cases were free flaps. The other 16 cases were pedicled flaps. The skin branches were divided into four types in our clinical series: musculocutaneous perforators (135/168 [80.4%]); intermuscular cutaneous perforators (16/168 [9.5%]); direct cutaneous branches (14/168 [8.3%]); and tiny cutaneous perforators (3/168 [1.8%]). The results were satisfactory. Only one case resulted in a failure due to tiny cutaneous branches. © 1999 Wiley‐Liss, Inc. 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MICROSURGERY 19:232–238 1999</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cadaver</subject><subject>Female</subject><subject>Fibula - injuries</subject><subject>Fractures, Bone - surgery</subject><subject>Hand Injuries - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microsurgery</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Soft Tissue Injuries - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Flaps - blood supply</topic><topic>Surgical Flaps - pathology</topic><topic>Thigh - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luo, Shengkang</creatorcontrib><creatorcontrib>Raffoul, Wassim</creatorcontrib><creatorcontrib>Luo, Jinhui</creatorcontrib><creatorcontrib>Luo, Lishen</creatorcontrib><creatorcontrib>Gao, Jianhua</creatorcontrib><creatorcontrib>Chen, Linfeng</creatorcontrib><creatorcontrib>Egloff, Daniel V.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Microsurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luo, Shengkang</au><au>Raffoul, Wassim</au><au>Luo, Jinhui</au><au>Luo, Lishen</au><au>Gao, Jianhua</au><au>Chen, Linfeng</au><au>Egloff, Daniel V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anterolateral thigh flap: A review of 168 cases</atitle><jtitle>Microsurgery</jtitle><addtitle>Microsurgery</addtitle><date>1999</date><risdate>1999</risdate><volume>19</volume><issue>5</issue><spage>232</spage><epage>238</epage><pages>232-238</pages><issn>0738-1085</issn><eissn>1098-2752</eissn><coden>MSRGDQ</coden><abstract>The anterolateral thigh flap based on the descending branch of the lateral circumflex femoral vessel is one of the musculocutaneous or septocutaneous flaps in the thigh. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Biological and medical sciences
Cadaver
Female
Fibula - injuries
Fractures, Bone - surgery
Hand Injuries - surgery
Humans
Male
Medical sciences
Microsurgery
Middle Aged
Orthopedic surgery
Soft Tissue Injuries - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps - blood supply
Surgical Flaps - pathology
Thigh - surgery
Treatment Outcome
title Anterolateral thigh flap: A review of 168 cases
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