The Anterolateral Thigh Perforator Flap: Its Expanding Role in Lower Extremity Reconstruction

Chung Chen Hsu, Charles Yuen Yung Loh, Fu Chan Wei*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations

Abstract

The anterolateral thigh (ALT) flap is a popular flap for lower extremity reconstruction despite its varied pedicle anatomy. Beyond its use for soft tissue coverage, using the chimeric flap concept, the ALT flap is useful for tendon and ligament reconstruction and the creation of a gliding surface with the fascia lata component. The vastus lateralis muscle can be included for dead-space obliteration. The main pedicle is long and is a similar size match for major artery reconstruction. If several perforators are available, a split flap could be fashioned into a multitude of shapes all arising from the same pedicle.

Original languageEnglish
Pages (from-to)235-248
Number of pages14
JournalClinics in Plastic Surgery
Volume48
Issue number2
DOIs
StatePublished - 04 2021

Bibliographical note

Publisher Copyright:
© 2020 Elsevier Inc.

Keywords

  • ALT flap
  • Anterolateral thigh flap
  • Chimeric flap
  • Lower extremity reconstruction
  • Perforator flap

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