Ramified anterolateral femoral flaps pedicled with different musculocutaneous branches for soft-tissue defects at extremities
10.3760/cma.j.issn.1671-7600.2010.01.005
- VernacularTitle:不同肌皮支为蒂的股前外侧分叶皮瓣在四肢组织缺损中的应用
- Author:
Aiguo WANG
;
Weibing ZHANG
;
Yong QIU
- Publication Type:Journal Article
- Keywords:
Surgical flaps;
Tissue transplantation;
Wounds and injuries;
Microanrgery
- From:
Chinese Journal of Orthopaedic Trauma
2010;12(1):12-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce ramified anterolateral femoral flaps pedicled with different musculocutaneous branches used for primary repair of soft-tissue defects at different regions of extremities. Methods From January 2008 to April 2009, 15 patients, 10 males and 5 females, were treated with an-terolateral thigh flaps for their soft-tissue defects at limbs which involved 4 hands, 6 feet and 5 legs and an-kles. Different shapes of anterolateral thigh flap were designed according to clinical anatomy and particular conditions of blood vessels and musculocutaneous branches in different cases. The flaps were ramified into 2 independent free flaps to repair 2 independent defects. The maximum distance between 2 defects was 8 cm. The area of defect ranged from 3.0 cm×3.5 cm to 8.0 cm×11.5 cm, and the flap area from 5.0 cm×5.0 cm to 9.0 cm×15.0 cm. Results According to clinical anatomy, the presence of sarco-cutaneous branches was 100%. The source blood vessel of the flaps was quadriceps artery of femur. The 15 patients were followed up from 3 to 8 months. The tissue grafts all survived and the flaps primarily healed at the recipient site. Revisions were done 3 weeks to 3 months after the primary operation to thin down the clumsy skin flaps in 6 cases, The shape and texture of the flaps were satisfactory. Conclusion Ramified anterolateral femoral flaps pedicled with different musculocutaneous branches provide an ideal way of repairing severe and complex soft-tissue defects at extremities.
