The distally based cross-leg anterolateral thigh flap for reconstruction of soft tissue defects in middle and distal thirds of the contralateral leg

VernacularTitle:桥式交叉逆行股前外侧皮瓣转移修复对侧小腿中下段软组织缺损
Author: Shenghe LIU ; Peihua CAI ; Yimin CHAI ; Zengyu XU ; Chaoyin JIANG ; Cunyi FAN
Publication Type:Journal Article
Keywords: Leg; Anterolateral thigh flap; Transplantation; Microsurgery
From: Chinese Journal of Microsurgery 2009;32(1):29-31,illust 1
CountryChina
Language:Chinese
Abstract: Objective To report the technique and effect of distally based, cross-leg, anterolateral thigh flap for reconstructing the soft tissue defects in middle and distal thirds of the contralateral leg. Methods Five patients of soft tissue defects in lower legs associated with injuries to the eontralateral legs were treated with distally based, cross-leg, anterolateral thigh flaps of the contralateral limbs. Results After the pedicle division at 6 weeks postoperatively, the 5 flaps all survived. And the blood supply of flaps remained steady when followed up for 12 to 15 months. The flaps possessed favorable contours, and allowed successful secondary repair of injured bones or tendons. The donor sites healed primarily, and no influence was observed to the donor limbs. Conclusion For the soft tissue defects in middle and distal thirds of leg associated with damage to the surrounding tissues and arterial injury of the contralateral leg, cross-leg transplantation of the contralateral distally based anterolateral thigh flap is a good option of reconstruction.