Pushing the Limits of Reach for the Pedicled Anterolateral Thigh Flap

The pedicled anterolateral thigh flap, although tremendously versatile, may be limited in reach, especially in challenging clinical cases. Traditional methods to extend its reach may remain insufficient or unavailable. We describe two modifications to the conventional pedicled flap to extend its rea...

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Bibliographic Details
Published in:	Plastic and reconstructive surgery. Global open Vol. 12; no. 4; p. e5727
Main Authors:	Liang, Weihao, Chen, Hsing-Fu, Jeng, Seng-Feng, Shih, Hsiang-Shun
Format:	Journal Article
Language:	English
Published:	United States Lippincott Williams & Wilkins 01-04-2024 Wolters Kluwer
Subjects:	Ideas and Innovations Reconstructive
Online Access:	Get full text
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Description
Summary:	The pedicled anterolateral thigh flap, although tremendously versatile, may be limited in reach, especially in challenging clinical cases. Traditional methods to extend its reach may remain insufficient or unavailable. We describe two modifications to the conventional pedicled flap to extend its reach to the limits, namely (1) selecting a distal perforator supplemented by the nonsizeable perforator harvest technique, and (2) the double-pivot technique adding an additional rotation to the flap à la propeller perforator flap. The increased reach not only improves reconstructive success, but also opens up new applications for this workhorse flap.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2169-7574 2169-7574
DOI:	10.1097/GOX.0000000000005727