Micro-vascular reconstruction of complex post traumatic ankle and foot defects with free anterolateral thigh flap: single centre experience

Background: Ankle and foot reconstruction is challenging for plastic surgeon due to paucity of local soft tissue poor blood supply. Anterolateral thigh (ALT) free flap become popular reconstructive option where microsurgical expertise available.Methods: Retrospective study 26 patients complex post traumatic ankle defect underwent anterolateral during 2 years duration.Results: ALT provides satisfactory with only 8% loss in our minimal donor site morbidity. Flap thinning required 19% on long term adequate shoe fitting.Conclusions: provide like replacement supple skin cover subsequent surgeries if required.