Clinical application of free super-thin anterolateral femoral perforator flap
10.3760/cma.j.issn.1001-2036.2010.01.004
- VernacularTitle:游离修薄股前外侧穿支皮瓣的临床应用
- Author:
Wenya ZHANG
;
Sen LIN
;
Yuxiang HU
;
Huiguo WU
;
Qiao HOU
;
Yafei HU
;
Jianling WANG
;
Dongning SONG
- Publication Type:Journal Article
- Keywords:
Anterolateral femoral flap;
Perforator flap;
Microsurgery
- From:
Chinese Journal of Microsurgery
2010;33(1):9-11,90
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clinical effect of repairing soft tissue defect in forearm, hand and foot with free super-thin anterolateral thigh perforator flaps. Methods At first the site of perforator vessels were determined by Doppler, then the flaps were designed and harvested with the site as center; the fascia lata and subcutaneous fat were removed by sandhill-likely only the 4.0 cm × 3.0 cm - 3.0 cm×2.5 cm disc-like fascia lata and dermis layer were reserved. 15 traumatic soft tissue defects including forearm, hand and foot were repaired with the ree super-thin antemlateral thigh perforator flaps. Results No vascular crisis happened and all skin grafts survived in donor sites. 2.0 cm×1.2 cm of the distal of flap was necrosis in 1 case and it was healed by dress changing. 15 cases were followed up 3 months-2 years and the average is 6 months. The contour and texture of all flaps were good and two point discrimination (2-PD) was about 8-10 mm of. Conclusions The contour and texture of free super-thin anterolateral thigh perforator flap are good, the feeling of recipient site recovered well, it's less injury for donor site and there is no reshaping for flap. It is a fineness donor site for repairing soft tissue defects in hand and foot.
