Flow-through Anterolateral Thigh Flaps: Report of 3 Consecutive Cases and Review of its Utility
Summary. In the field of plastic and reconstructive surgery, soft tissue reconstruction of Gustilo 3B with peripheral vascular disease or 3C fractures is a complex treatment algorithm. The concomitant issue of soft tissue coverage with vascular reconstruction is the main challenge when opting for fr...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2021-05-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003584 |
| _version_ | 1819083857160306688 |
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| author | Noah H. Saad, MD Kelly Rosso, MD Howard Wang, MD Douglas Cromack, MD Efstathios Karamanos, MD |
| author_facet | Noah H. Saad, MD Kelly Rosso, MD Howard Wang, MD Douglas Cromack, MD Efstathios Karamanos, MD |
| author_sort | Noah H. Saad, MD |
| collection | DOAJ |
| description | Summary. In the field of plastic and reconstructive surgery, soft tissue reconstruction of Gustilo 3B with peripheral vascular disease or 3C fractures is a complex treatment algorithm. The concomitant issue of soft tissue coverage with vascular reconstruction is the main challenge when opting for free tissue transfer. The flow-through flap offers the surgeon the ability to treat a vascular injury or high-grade stenosis to maintain distal perfusion, while also providing soft tissue coverage. In this study, we present a case series of 3 patients who underwent flow-through anterolateral thigh free flap for lower extremity soft tissue coverage. Each patient had a history of trauma and either single vessel runoff or a dominant branch with diminutive secondary blood flow to the foot. All patients successfully underwent free flap reconstruction of lower extremity wounds while concomitantly reconstructing diseased arterial supply. Only 1 patient suffered partial flap loss postoperatively that was treated with debridement and split thickness skin grafting. Flow-through free tissue transfer is a valuable treatment option not only in Gustilo 3C fractures requiring soft tissue coverage, but also in patients with Gustilo 3B fractures with peripheral vascular disease. |
| first_indexed | 2024-12-21T20:39:13Z |
| format | Article |
| id | doaj.art-bd3ab0658d2c422992a32398fd32c285 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-21T20:39:13Z |
| publishDate | 2021-05-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-bd3ab0658d2c422992a32398fd32c2852022-12-21T18:51:01ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742021-05-0195e358410.1097/GOX.0000000000003584202105000-00050Flow-through Anterolateral Thigh Flaps: Report of 3 Consecutive Cases and Review of its UtilityNoah H. Saad, MD0Kelly Rosso, MD1Howard Wang, MD2Douglas Cromack, MD3Efstathios Karamanos, MD4From the * Division of Plastic and Reconstructive Surgery and the Department of Orthopedic Surgery, UT Health San Antonio, San Antonio, Tex.† Banner MD Anderson, Phoenix, Ariz.From the * Division of Plastic and Reconstructive Surgery and the Department of Orthopedic Surgery, UT Health San Antonio, San Antonio, Tex.From the * Division of Plastic and Reconstructive Surgery and the Department of Orthopedic Surgery, UT Health San Antonio, San Antonio, Tex.From the * Division of Plastic and Reconstructive Surgery and the Department of Orthopedic Surgery, UT Health San Antonio, San Antonio, Tex.Summary. In the field of plastic and reconstructive surgery, soft tissue reconstruction of Gustilo 3B with peripheral vascular disease or 3C fractures is a complex treatment algorithm. The concomitant issue of soft tissue coverage with vascular reconstruction is the main challenge when opting for free tissue transfer. The flow-through flap offers the surgeon the ability to treat a vascular injury or high-grade stenosis to maintain distal perfusion, while also providing soft tissue coverage. In this study, we present a case series of 3 patients who underwent flow-through anterolateral thigh free flap for lower extremity soft tissue coverage. Each patient had a history of trauma and either single vessel runoff or a dominant branch with diminutive secondary blood flow to the foot. All patients successfully underwent free flap reconstruction of lower extremity wounds while concomitantly reconstructing diseased arterial supply. Only 1 patient suffered partial flap loss postoperatively that was treated with debridement and split thickness skin grafting. Flow-through free tissue transfer is a valuable treatment option not only in Gustilo 3C fractures requiring soft tissue coverage, but also in patients with Gustilo 3B fractures with peripheral vascular disease.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003584 |
| spellingShingle | Noah H. Saad, MD Kelly Rosso, MD Howard Wang, MD Douglas Cromack, MD Efstathios Karamanos, MD Flow-through Anterolateral Thigh Flaps: Report of 3 Consecutive Cases and Review of its Utility Plastic and Reconstructive Surgery, Global Open |
| title | Flow-through Anterolateral Thigh Flaps: Report of 3 Consecutive Cases and Review of its Utility |
| title_full | Flow-through Anterolateral Thigh Flaps: Report of 3 Consecutive Cases and Review of its Utility |
| title_fullStr | Flow-through Anterolateral Thigh Flaps: Report of 3 Consecutive Cases and Review of its Utility |
| title_full_unstemmed | Flow-through Anterolateral Thigh Flaps: Report of 3 Consecutive Cases and Review of its Utility |
| title_short | Flow-through Anterolateral Thigh Flaps: Report of 3 Consecutive Cases and Review of its Utility |
| title_sort | flow through anterolateral thigh flaps report of 3 consecutive cases and review of its utility |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003584 |
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