Knee and Ankle Reconstruction With Reverse Anterolateral Thigh and Free Anterolateral Thigh Flap From One Donor Site

被引:1
|
作者
Choi, KyeongBeom [1 ]
Cho, JaeHo [2 ]
Park, MyongChul [1 ]
Park, Dong Ha [1 ]
Lee, Il Jae [1 ]
机构
[1] Ajou Univ, Sch Med, Dept Plast & Reconstruct Surg, Worldcup Ro 164, Suwon 443721, Gyeonggi Do, South Korea
[2] Ajou Univ, Sch Med, Dept Orthoped Surg, Suwon, South Korea
关键词
free tissue flaps; perforator flap; reconstructive surgical procedures; surgical flaps; PERFORATOR FLAP;
D O I
10.1177/1534734616653210
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Traditionally, the anterolateral thigh (ALT) free flap is used in distal lower extremity reconstruction. Reverse ALT flap has become one of the most popular choices for knee joint soft tissue defects. A 53-year-old man sustained a degloving injury in the right lateral side of the lower extremity from the lateral malleolar area to the knee joint area. The contamination was severe, necessitating serial debridement and negative pressure wound therapy. After 4 weeks, no more soft tissue necrosis was evident. No more microorganism growth was confirmed by swab culture. ALT free flap using proximal perforator was planned for lateral malleolar area reconstruction and reverse ALT flap using distal perforator was planned to cover knee joint after confirming the pedicle length was sufficient for simultaneous knee and lateral malleolar area reconstruction.
引用
收藏
页码:267 / 270
页数:4
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