RESUMO
Background: The aim of this study was to confirm the morphometry of the anterolateral thigh (ALT) pedicle and the location of the perforators in the adult Vietnamese population. Material and methods: Forty dissections of the thigh were carried out in 20 Vietnamese dedicate cadavers. Including 13 cadavers were fixed by Formalin and 7 cadavers were fixed by fridge. The number, origin, location of the perforators and the diameter of the ALT pedicles were studied and measured. Results: The length of the thigh was 39.9 ± 2.8 cm. 39/40 cases (97.5%) were a perforator of a 4 cm circle drawn at the midpoint thigh. There were 161 perforators. In 82.7% of perforators were musculocutaneous perforators and 17.3% perforators were septocutaneous perforators. There were 5 types of vascular pedicles. Type 1: the perforators originated from the descending branch were 65%; Type 2: from the oblique branch were 22.5%; Type 3: from the transverse branch were 5%; Type 4: from profunda femoris were 5%; Type5: from femoral artery were 2,5%. The average length of the flap pedicle was 11.6 ± 2.4 cm, the diameter of the artery was 2.51 ± 0.52 mm, the vein was 2.95 ± 0,56 mm and 2.18 ± 0,46. Conclusion: The ALT flap is a constant vascular supply, a long pedicle with a suitable diameter for anastomoses. The ALT can be harvest widely and reliable with a perforator of a 4 cm circle drawn at the midpoint thigh.
RESUMO
Flap pre-fabrication represents an interesting technique in tissue-defect reconstruction. In this article we report the successful clinical application of a free pre-fabricated flap using an isolated arterialised venous loop as an implanted vascular pedicle for reconstruction of an extended soft-tissue defect on the leg, as well as clinical neo-vascularisation development following arterialised venous loop implantation. The procedure appears potentially useful in selected patients due to the easy harvest of an isolated vein loop as well as a favourable functional and aesthetic result at the donor site.
