Anatomy of the anteromedial thigh flap based on the oblique branch of the descending branch of the lateral circumflex femoral artery

Tayfur,; Mağden, Orhan; Edizer, Mete; Yonguc, Goksin Nilufer; Aksu, Funda; Göçmen-Mas, Nüket

doi:10.5603/fm.a2015.0062

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…The free anterolateral thigh flap is the most widely used flap at present, and its main advantages are as follows: (a) the lateral thigh is relatively concealed as a donor site and can provide abundant soft tissue. Therefore, for pediatric patients, when the width of anterolateral thigh flap is less than 6 cm, the donor site can be sutured directly 7 ; (b) as the pedicle of the flap, the descending branch of the lateral femoral circumflex artery has a sufficiently large diameter and length, and its anatomy is relatively constant for easy dissection 13 ; (c) the lateral femoral circumflex artery is not a main blood vessel, so its resection has little effect on the blood supply of the distal lower limb 13 ; (d) flaps can be combined and applied in different forms, such as chimeric flaps, flow-through flaps, lobulated flaps, etc, to reconstruct various complex defects 14–17 . Therefore, the anterolateral thigh flap has been widely used in many fields such as trauma, burns, plastic surgery, etc.…”

Section: Discussionmentioning

confidence: 99%

Microsurgical Anterolateral Thigh Flap for Reconstruction of Extremity Soft Tissue Defects in Pediatric Patients

Shi¹,

Xu²,

Zhu³

et al. 2022

Ann Plast Surg

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Background: The anterolateral thigh flap is one of the most widely used flaps because it has the advantages of less damage to the donor site, no sacrifice of main blood vessels, and abundant soft tissue. However, the application of anterolateral thigh flap in children is relatively rare because of small blood vessels and rapid physiological changes. The aim of this study was to explore the effectiveness and characteristics of free anterolateral thigh flaps for the reconstruction of extremity soft tissue defects in pediatric patients. Patients and Methods: This study included 26 pediatric patients, with an average age of 6.7 years (range, 2-13 years). There were 5 cases of upper limb defects and 21 cases of lower limb defects, all of which were accompanied by exposed bones or tendons. The causes of defects included traffic injury in 9 cases, mechanical injury in 7 cases, collision injury in 4 cases, spoke injury in 3 cases, cicatricial contracture in 2 cases, and fibroma in 1 case. All defects were reconstructed with free anterolateral thigh flaps. Results: Twenty-six anterolateral thigh flaps were harvested, including 15 fasciocutaneous flaps and 11 musculocutaneous flaps. The mean size of the flap was 73.4 cm 2 (range, 4 Â 3 to 24 Â 8 cm). The donor sites were sutured directly in 19 cases and underwent split-thickness skin grafting in 7 cases. There were 3 cases of vascular crisis, 3 cases of flap edge necrosis, 3 cases of infection, 1 case of pressure ulcer, and 1 case of dehiscence after surgery. Eleven patients had scar hyperplasia in the donor site. A total of 34 reoperations were performed, including 14 flap debulking, 7 debridement, 4 skin graft, 3 vascular crisis re-exploration, and 6 other procedures. Conclusions: Free anterolateral thigh flap was a safe and reliable option for reconstructing soft tissue defects of extremities in pediatric patients. Notably, the incidence of scar hyperplasia in the donor site and the possibility of reoperation in pediatric patients were higher than those in adult patients.

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Section: Discussionmentioning

confidence: 99%

Microsurgical Anterolateral Thigh Flap for Reconstruction of Extremity Soft Tissue Defects in Pediatric Patients

Shi¹,

Xu²,

Zhu³

et al. 2022

Ann Plast Surg

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Repair Hot-Pressed Wound of the Hand with Lobulated Chimeric Flaps of Perforator Branch of Lateral Circumflex Femoral Artery

Tang

2021

Practical Microsurgery Cases

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Anteromedial thigh septocutaneous perforator flap as a first choice for head and neck reconstruction: A clinical algorithm based on perforator-pedicle relationship

Gao

Abdelrehem

et al. 2022

Oral Oncology

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Anatomy of the anteromedial thigh flap based on the oblique branch of the descending branch of the lateral circumflex femoral artery

Abstract: Anteromedial thigh (AMT) flaps based on lateral circumflex femoral artery (LCFA)have 28.53 (20.20-34.20) cm distal to the anterior superior iliac spine, 22.12 (13.40-28.00) cm distal to the pubic tubercle, and 13.20 (10.80-16.20)

Cited by 3 publications

References 19 publications

Microsurgical Anterolateral Thigh Flap for Reconstruction of Extremity Soft Tissue Defects in Pediatric Patients

Microsurgical Anterolateral Thigh Flap for Reconstruction of Extremity Soft Tissue Defects in Pediatric Patients

Repair Hot-Pressed Wound of the Hand with Lobulated Chimeric Flaps of Perforator Branch of Lateral Circumflex Femoral Artery

Anteromedial thigh septocutaneous perforator flap as a first choice for head and neck reconstruction: A clinical algorithm based on perforator-pedicle relationship

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