Reconstruction of lateral forefoot using reversed medial plantar flap with free anterolateral thigh flap.

Versatility of Anterolateral Thigh Perforator Flap as a Pedicled Flap

The pedicled anterolateral thigh (ALT) flap based on septocutanous or musculocutanous perforators of the lateral circumflex femoral system is a reliable flap. The use of ALT flap as a pedicled flap is relatively unpopular if compared with its use as a free flap. The flap can be raised as a fasciocutaneous or muscle flap or myocutaneous flap. The pedicled flap has got a lengthy pedicle with a li...

Reconstruction of Postburn Contracture of the Forefoot Using the Anterolateral Thigh Flap

BACKGROUND Severe forefoot deformities, particularly those involving the dorsum of the foot, cause inconvenience in daily activities of living including moderate pain on the dorsal aspect of the contracted foot while walking and difficulty in wearing nonsupportive shoes due to toe contractures. This paper presents clinical results of reconstruction of severe forefoot deformity using the anterol...

Free Medial Plantar Flap Connection with a Posterior Tibial Artery Flap in Reconstruction of Fore–Mid Foot Skin Defect

BACKGROUND Although there are many surgical treatments for covering the skin defect of the fore-mid foot, how to reconstruct the weight-bearing region remains a challenge. The weight-bearing region of the sole needs to withstand the pressure and shearing stresses of walking, so the plantar skin is anatomically different from other skins in the areas of texture, thickness, subcutaneous tissue, e...

Contralateral Pedicled Anterolateral Thigh Flap (ATL) for Upper Thigh Defect in the Era of Free ATL?

The oblique branch trap in the harvest of the anterolateral thigh myocutaneous flap.

A 67-year-old man with squamous cell carcinoma underwent reconstruction with a free anterolateral thigh myocutaneous flap. Unroofing the skin perforators found that the skin perforators originated from the oblique branch of the lateral circumflex femoral artery with no connections with the descending branch. Thus, the flap was harvested based on the oblique branch, leaving the descending branch...