Sequential flap of thigh perforator for closure of the anterolateral thigh free flap donor site

VernacularTitle:股前穿支接力皮瓣修复游离股前外侧皮瓣供区创面
Author: Yunsheng TENG ; Gaofeng LIANG ; Bo WEN ; Zonghai JIA ; Feng ZHI ; Meng WU ; Yongming GUO ; Chaopeng DUAN ; Manying ZHANG ; Ping'an XU ; Junwen DONG ; zhixiong MA
Keywords: Anterolateral thigh flap; Perforator flap,sequential flap; Limb; Repair
From: Chinese Journal of Microsurgery 2017;40(2):126-129
CountryChina
Language:Chinese
Abstract: Objective To explore the clinical effects of sequential flap of thigh perforator for closure of the anterolateral thigh free flap donor site.Methods From March,2014 to May,2015,8 consecutive patients underwent elective anterolateral thigh free flap reconstruction for limb soft tissue defect.To design a sequential flap of thigh perforator to achieve primary closure of the anterolateral thigh free flap donor site.The area of anterolateral thigh free flap ranged from 9.0 cm×6.0 cm to 20.0 cm×1 1.0 cm,respectively.The area of thigh perforator flap ranged from 7.0 cm×3.0 cm to 12.0 cm×7.0 cm.Results All flaps healed uneventfully.Distal skin flap necrosis appeared in 1 flap which was healed after local transposition flap.All the patients were followed up for 1 to 6 months,with mean time of 4 months.The color,texture and appearance of flaps were satisfactory.Conclusion Sequential flap of thigh perforator,with reliable blood supply and constant position,represents an ideal model to close the anterolateral thigh free flap donor site of small defect.