Clinical application of anterolateral thigh perforator flap pedicled with oblique branch in intramuscular of lateral circumflex femoral artery

• Published in: Zhongguo xiu fu chong jian wai ke za zhi 2022-12, Vol.36 (12), p.1512
• Main Authors: Yang, Lin, Liu, Zhijin, Cheng, Junnan, Gao, Qinfeng, Yang, Chengpeng, Liu, Shengzhe, Zhang, Tao, Sun, Fengwen, Huang, Yongtao, Ju, Jihui
• Format: Article
• Language: Chinese
• Subjects: Adult; Female; Femoral Artery - surgery; Humans; Lower Extremity - surgery; Male; Perforator Flap - transplantation; Plastic Surgery Procedures; Retrospective Studies; Skin Transplantation - methods; Soft Tissue Injuries - surgery; Thigh - surgery; Treatment Outcome
• ISSN: 1002-1892
• DOI: 10.7507/1002-1892.202207012

To explore the characteristics and clinical application of the anterolateral thigh flap pedicled with the oblique branch in the intramuscular of lateral circumflex femoral artery. The clinical data of 25 patients with skin and soft tissue defects of extremities admitted between December 2020 and April 2021 were retrospectively analyzed, including 16 males and 9 females, aged 14-75 years, with the median age of 43 years. The defect site included 13 cases of hand, 2 cases of forearm, 2 cases of calf, and 8 cases of foot and ankle. The wound area ranged from 6 cm×4 cm to 35 cm×22 cm. Twenty-four patients with trauma were admitted to hospital immediately after injury, and 1 patient with diabetic foot infection was transferred to the hospital after ineffective treatment in other hospital. Flap surgery was performed from 0 to 56 days (median, 22 days) after admission. A total of 26 thigh flaps were harvested in 25 patients, with unilateral flaps in size of 7 cm×5 cm to 40 cm×10 cm. The type, caliber, and location o