Knee Defect Reconstruction Using the Distally Based Anterolateral Thigh Flap Based on the Reverse Flow from the Oblique Branch of the Lateral Circumflex Femoral Artery

Reconstruction of soft tissue defects around the knee is challenging, and the most common solution is to use various locoregional flaps or, in some difficult cases, a free flap. The distally based anterolateral thigh (dALT) flap is a commonly used flap that relies on reverse blood flow from the desc...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Danying Wang [verfasserIn] Mengqing Zang [verfasserIn] Hengyuan Ma [verfasserIn] Yuanbo Liu [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	anterolateral thigh flap distally based anterolateral thigh flap knee defect reconstruction

Übergeordnetes Werk:	In: Archives of Plastic Surgery - Thieme Medical Publishers, Inc., 2013, 49(2022), 03, Seite 444-447
Übergeordnetes Werk:	volume:49 ; year:2022 ; number:03 ; pages:444-447

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.1055/s-0042-1748661

Katalog-ID:	DOAJ078986583

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language	English
source	In Archives of Plastic Surgery 49(2022), 03, Seite 444-447 volume:49 year:2022 number:03 pages:444-447
sourceStr	In Archives of Plastic Surgery 49(2022), 03, Seite 444-447 volume:49 year:2022 number:03 pages:444-447
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	anterolateral thigh flap distally based anterolateral thigh flap knee defect reconstruction Surgery
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container_title	Archives of Plastic Surgery
authorswithroles_txt_mv	Danying Wang @@aut@@ Mengqing Zang @@aut@@ Hengyuan Ma @@aut@@ Yuanbo Liu @@aut@@
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callnumber-first	R - Medicine
author	Danying Wang
spellingShingle	Danying Wang misc RD1-811 misc anterolateral thigh flap misc distally based anterolateral thigh flap misc knee defect reconstruction misc Surgery Knee Defect Reconstruction Using the Distally Based Anterolateral Thigh Flap Based on the Reverse Flow from the Oblique Branch of the Lateral Circumflex Femoral Artery
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topic_title	RD1-811 Knee Defect Reconstruction Using the Distally Based Anterolateral Thigh Flap Based on the Reverse Flow from the Oblique Branch of the Lateral Circumflex Femoral Artery anterolateral thigh flap distally based anterolateral thigh flap knee defect reconstruction
topic	misc RD1-811 misc anterolateral thigh flap misc distally based anterolateral thigh flap misc knee defect reconstruction misc Surgery
topic_unstemmed	misc RD1-811 misc anterolateral thigh flap misc distally based anterolateral thigh flap misc knee defect reconstruction misc Surgery
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title	Knee Defect Reconstruction Using the Distally Based Anterolateral Thigh Flap Based on the Reverse Flow from the Oblique Branch of the Lateral Circumflex Femoral Artery
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title_full	Knee Defect Reconstruction Using the Distally Based Anterolateral Thigh Flap Based on the Reverse Flow from the Oblique Branch of the Lateral Circumflex Femoral Artery
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title_sort	knee defect reconstruction using the distally based anterolateral thigh flap based on the reverse flow from the oblique branch of the lateral circumflex femoral artery
callnumber	RD1-811
title_auth	Knee Defect Reconstruction Using the Distally Based Anterolateral Thigh Flap Based on the Reverse Flow from the Oblique Branch of the Lateral Circumflex Femoral Artery
abstract	Reconstruction of soft tissue defects around the knee is challenging, and the most common solution is to use various locoregional flaps or, in some difficult cases, a free flap. The distally based anterolateral thigh (dALT) flap is a commonly used flap that relies on reverse blood flow from the descending branch of the lateral circumflex femoral artery (d-LCFA). Here, we present the case of an anteromedial knee reconstruction using a dALT flap after resection of a pleomorphic undifferentiated sarcoma. The tumor resection resulted in a 14 × 7 cm defect, and a dALT flap, measuring 20 × 8 cm was elevated. During the surgery, we found a robust oblique branch of the LCFA (o-LCFA) sending off two sizable perforators to the anterolateral thigh region, whereas the d-LCFA was relatively small with no usable perforators. Therefore, we harvested a dALT flap relying on reverse flow from the o-LCFA. The patient's postoperative course was uneventful, and the flap survived without complications. This report demonstrates that reverse flow from the o-LCFA may be an alternative to nourish a dALT flap in cases where the d-LCFA is hypoplastic or suitable perforators from the d-LCFA are unavailable.
abstractGer	Reconstruction of soft tissue defects around the knee is challenging, and the most common solution is to use various locoregional flaps or, in some difficult cases, a free flap. The distally based anterolateral thigh (dALT) flap is a commonly used flap that relies on reverse blood flow from the descending branch of the lateral circumflex femoral artery (d-LCFA). Here, we present the case of an anteromedial knee reconstruction using a dALT flap after resection of a pleomorphic undifferentiated sarcoma. The tumor resection resulted in a 14 × 7 cm defect, and a dALT flap, measuring 20 × 8 cm was elevated. During the surgery, we found a robust oblique branch of the LCFA (o-LCFA) sending off two sizable perforators to the anterolateral thigh region, whereas the d-LCFA was relatively small with no usable perforators. Therefore, we harvested a dALT flap relying on reverse flow from the o-LCFA. The patient's postoperative course was uneventful, and the flap survived without complications. This report demonstrates that reverse flow from the o-LCFA may be an alternative to nourish a dALT flap in cases where the d-LCFA is hypoplastic or suitable perforators from the d-LCFA are unavailable.
abstract_unstemmed	Reconstruction of soft tissue defects around the knee is challenging, and the most common solution is to use various locoregional flaps or, in some difficult cases, a free flap. The distally based anterolateral thigh (dALT) flap is a commonly used flap that relies on reverse blood flow from the descending branch of the lateral circumflex femoral artery (d-LCFA). Here, we present the case of an anteromedial knee reconstruction using a dALT flap after resection of a pleomorphic undifferentiated sarcoma. The tumor resection resulted in a 14 × 7 cm defect, and a dALT flap, measuring 20 × 8 cm was elevated. During the surgery, we found a robust oblique branch of the LCFA (o-LCFA) sending off two sizable perforators to the anterolateral thigh region, whereas the d-LCFA was relatively small with no usable perforators. Therefore, we harvested a dALT flap relying on reverse flow from the o-LCFA. The patient's postoperative course was uneventful, and the flap survived without complications. This report demonstrates that reverse flow from the o-LCFA may be an alternative to nourish a dALT flap in cases where the d-LCFA is hypoplastic or suitable perforators from the d-LCFA are unavailable.
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title_short	Knee Defect Reconstruction Using the Distally Based Anterolateral Thigh Flap Based on the Reverse Flow from the Oblique Branch of the Lateral Circumflex Femoral Artery
url	https://doi.org/10.1055/s-0042-1748661 https://doaj.org/article/d1a0ce2ce4c74002a80786c690c974fa http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1748661 https://doaj.org/toc/2234-6163 https://doaj.org/toc/2234-6171
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up_date	2024-07-03T21:02:33.128Z
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Knee Defect Reconstruction Using the Distally Based Anterolateral Thigh Flap Based on the Reverse Flow from the Oblique Branch of the Lateral Circumflex Femoral Artery

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