Versatility of Anterolateral Thigh Flap in Dorsal Hand Reconstruction

Abstract

Background: The latest advancement and high success rate of microsurgery cannot be denied. Although, free flaps have a pioneering characteristics among the rest of other options described in literatures for dorsal hand reconstruction; it should be emphasized that Selection of the donor site is very important. Anterolateral thigh flap was used in of head and neck, breast and upper and lower extremities reconstruction [1,2]. In this article the application of this flap for the dorsal hand skin coverage is presented. Conclusion: Purportedly, the author found in the robust characteristics of the ALT flap a warrant to be one of the best armaments in the reconstructive options of the hand dorsum.

Comparative Study Between Pedicled Groin Flap and Free Anterolateral Thigh Flap in Reconstruction of Complex Soft Tissue Hand Defects

“…On the other hand, Moustafa Meky (2018) conducted a study on the versatility of the anterolateral thigh flap in dorsal hand reconstruction. In this study, there were 11 males (91.6%) and 1 female (8.4%), with ages ranging from 8 to 49 years (average age: 34.6 years) [10].…”

One Stage Microsurgical Reconstruction with Chimeric Flap for Salvaging a Complex Hand Injuries

“…Several authors have described relevant techniques to incorporate multiple tissue components, such as chimeric flap in this type of extensive injury. The ALT flap with fascia lata which previously described in the literature was used to provide gliding surface over the dorsum area of the hand [6,7]. In this case, the fascia lata was slit into several strips and functioned as a bridge interconnecting the distal and proximal part of extensor tendon loss and bulk of tissue.…”

“…Meanwhile, the vascularized iliac bone graft which nourished by the attachment of periosteal layer, supplied by the TLCFA was used as carpal bone reconstruction. The abundance tissue components from ALT and its variability in harvesting chimeric flap are adequate to cover the large tissue defects over the dorsum part of hand [4,6].…”

Evolution of free flap reconstruction in the upper extremity: perspective from a tertiary plastic and reconstructive institution

“…As previously mentioned, the direct temporal fascia flap is an option for unrestricted tendon gliding but is disadvantaged by the need for a separate skin graft and poor quality for future re-elevation. Although fasciocutaneous flaps have historically been considered bulky, both the anterolateral thigh flap and the superficial circumflex iliac artery perforator flap could be significantly thinned to provide excellent coverage (Chen et al., 2019; Mekky, 2018). Fasciocutaneous flaps comprise both soft tissue coverage and fascial gliding for tendon excursion, allowing safe defect coverage and tendon reconstruction simultaneously.…”