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Anterolateral Thigh Island Flap
Journal of the Korean Fracture Society ; : 207-212, 2008.
Article in Korean | WPRIM | ID: wpr-115791
ABSTRACT

PURPOSE:

To present the author's experience using the anterolateral thigh island flap for reconstruction of soft tissue defects around the hip and perineum. MATERIALS AND

METHODS:

Proximal based anterolateral thigh island flaps were performed to reconstruct the soft tissue defects at the perineum (3 patients) and the greater trochanter of the hip (one patient) in 4 patients. All patients were male. Mean age was 43 years (range, 32 to 50 years) and mean follow-up was 8 months (range, 6 to 13 months). The causes of the defects were traffic accident in 2 cases, necrotizing fasciitis 1 case, and pressure sore 1 case. Average size of the flap was 14x9 cm. Fasciocutaneous flaps were performed in 3 patients and musculocutaneous flap was performed in one patient.

RESULTS:

All flaps were survived. There were no necrosis of the flaps. One flap presented venous congestion after surgery, which resolved with the decompression of the pedicle. Reconstruction with the anterolateral thigh island flap resulted in no recurrence of the infection or ulcer and good esthetic contour.

CONCLUSION:

The anterolateral thigh island flap is a reliable flap for reconstruction around the perineum and hip joint.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Perineum / Recurrence / Surgical Flaps / Thigh / Ulcer / Accidents, Traffic / Follow-Up Studies / Fasciitis, Necrotizing / Decompression / Pressure Ulcer Type of study: Observational study / Prognostic study Limits: Humans / Male Language: Korean Journal: Journal of the Korean Fracture Society Year: 2008 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Perineum / Recurrence / Surgical Flaps / Thigh / Ulcer / Accidents, Traffic / Follow-Up Studies / Fasciitis, Necrotizing / Decompression / Pressure Ulcer Type of study: Observational study / Prognostic study Limits: Humans / Male Language: Korean Journal: Journal of the Korean Fracture Society Year: 2008 Type: Article