Document Detail

Expanding the applications of the pedicled anterolateral thigh and vastus lateralis myocutaneous flaps.
MedLine Citation:
PMID:  23154336     Owner:  NLM     Status:  In-Data-Review    
ABSTRACT: We describe our experience in expanding the use of pedicled anterolateral thigh and vastus lateralis myocutaneous flaps. A total of 33 patients underwent 34 flaps between March 2003 and January 2012. The defects included 18 ischial, 3 trochanteric, 5 lower abdomen, 2 perineogenital, 1 groin, and 5 knee defects. There were 29 proximal pedicled (2 of which were preexpanded), 3 distal pedicled, and 2 propeller flaps. Complications included 1 total necrosis, 1 partial necrosis, 3 wound dehiscence in recipient site, 1 hematoma, and 1 donor-site dehiscence. The total flap survival rate was 94%. There were no donor-site morbidities except poor cosmesis in the skin-grafted sites. Pedicled anterolateral thigh flap is highly versatile with a wide arc of rotation. A proximal pedicled flap can be used for lower abdomen, perineogenital, ischial, and trochanteric defects and the distal pedicled or a propeller flap for knee and proximal lower leg defects.
Honda Hsu; Sou-Hsin Chien; Chien-Hsing Wang; Li-Fu Cheng; Chih-Ming Lin; Meng-Si Wu; Chieh-Chi Huang; Jiunn-Tat Lee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  69     ISSN:  1536-3708     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  643-9     Citation Subset:  IM    
From the *Division of Plastic Surgery, Tzu Chi Dalin General Hospital, Dalin; †Division of Plastic Surgery, Tzu Chi Hualien General Hospital; and ‡School of Medicine, Tzu Chi University, Hualien, Taiwan.
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