The Versatility of Pedicled Anterolateral Thigh Flap: A Tertiary Re-ferral Center Experience from India

Naalla, Ravikiran; Chauhan, Shashank; Bhattacharyya, Somnath; Singhal, Maneesh

doi:10.24983/scitemed.imj.2017.00040

Cited by 1 publication

(2 citation statements)

References 15 publications

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“…All the flaps were survived completely. Naalla et al 16 reported no complication was seen in six cases among nine, 1 patient had partial flap necrosis and one patient had hematoma at the flap site, which required drainage. The postoperative outcome of flap of our study had no gross dissimilarity compared to other studies.…”

Section: Resultsmentioning

confidence: 90%

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Outcome of Venous Supercharged Pedicled Anterolateral Thigh Flap for Reconstruction of Soft Tissue Defect around the Knee Joint

Arju¹,

Dash²,

Ahmed³

et al. 2022

J. Bangladesh Coll. Phys.

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Introduction: Soft tissue defects around the knee are common following motor vehicle accidents, burns especially electric burn, excision of malignancy etc. Reconstruction of soft tissue defect around the knee needs thin, pliable and tough skin. Recently distally based pedicled anterolateral thigh flap has been used for soft tissue reconstruction for its several advantages like long pedicle, sufficient amount of soft tissue and less donor site morbidity. But it has tendency towards venous congestion and this can be overcome with venous supercharging. This study was designed to evaluate the effectiveness of venous supercharging in reducing venous congestion in pedicled anterolateral thigh flap for reconstruction of soft tissue defect around the knee joint. Methods: This prospective observational study was carried out at Department of Plastic Surgery and Burn Unit, Dhaka Medical College Hospital and Sheikh Hasina National Institute of Burn and Plastic Surgery (SHNIBPS), Dhaka from August 2017 to June 2019. Twenty (20) patients who presented with defect around the knee were included in this study according to inclusion and exclusion criteria. Results: Maximum patients 5(25%)were day labour and wounds were created by MVA in most of the cases10(50%).Most common site was anterior aspect of knee joint 8(40%).The dimension of the wound size ranged from 5×3cm upto 7×14cm. Majority of the wounds ranged from 15×13cm to 17×14cm. The flap size ranged from 6×3.5cm upto 20×18cm. 18 (90%) flaps had no venous congestion, but 2(10%) cases had it. All flaps (20) survived well, 18 cases had acceptable scar and in 2 cases infection occurred. Regarding functional outcome of knee joints, 15 (75%) patients had full range of motion and 5(25%) patients had 5p -10p restriction in flexion of knee joints. Final outcome was found excellent in 16(80%) and satisfactory in 4(20%) cases. Conclusion: Venous supercharging in pedicled anterolateral thigh flap for soft tissue defect around the knee joint have shown to be effective in reducing venous congestion. J Bangladesh Coll Phys Surg 2022; 40: 233-239

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Section: Resultsmentioning

confidence: 90%

“…Kim et al 15 reported most common involved site (69%) was the front of the knee. Naalla et al 16 also found that 44% patients had injuries in front of the knee joint. The findings of this study are consistent with these studies.…”

Section: Resultsmentioning

confidence: 93%