Anterolateral thigh flap for trauma reconstruction.

Abstract:

:High velocity injuries have traditionally been covered with free muscle flaps. We sought to evaluate the utility of the anterolateral thigh flap (ALT) flap as a primary choice in reconstructing traumatic injuries in Western patients.A retrospective chart review was conducted of 122 patients treated at the R Adams Cowley Shock Trauma Center and at the Louisiana State University Trauma Center. Data collected included defect size, donor site location, flap composition and size, number of anastamoses, number of perforators, donor site closure, and complications.A total of 127 ALT flap reconstructions were performed. About 74% involved the lower extremity, 12% head and neck, 11% upper extremity, 2% abdomen, <1% chest, and <1% pelvis. The success rate was 96% with 3 total flap failures and 2 partial flap failures. Average follow-up was 9.3 months.The results of this review confirm that the ALT flap is a reliable, versatile tool for managing composite traumatic injuries.

journal_name

Ann Plast Surg

authors

Lee JC,St-Hilaire H,Christy MR,Wise MW,Rodriguez ED

doi

10.1097/SAP.0b013e3181a20ab0

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

164-8

issue

2

eissn

0148-7043

issn

1536-3708

pii

00000637-201002000-00014

journal_volume

64

pub_type

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