Reconstruction of a huge wound in lower limb with super long conjoined flap combined with an anterolateral thigh flap: a case report
10.3760/cma.j.cn441206-20250207-00028
- VernacularTitle:超长联体皮瓣联合股前外侧皮瓣修复下肢巨大创面1例
- Author:
Zhangcan LI
1
;
Dawei ZHENG
1
;
Yong PAN
1
;
Xinquan WU
1
;
Yinghua WEI
1
;
Gang LI
1
Author Information
1. 徐州仁慈医院手显微外科，徐州 221000
- Publication Type:Journal Article
- Keywords:
Anterolateral thigh flap;
Conjoined flap;
Huge wound of lower limb;
Transfer and reconstruction;
Microsurgical technique
- From:
Chinese Journal of Microsurgery
2025;48(5):569-572
- CountryChina
- Language:Chinese
-
Abstract:
In April 2022, a patient with a huge soft tissue defect in left lower limb was treated in the Department of Hand Microsurgery, Xuzhou Renci Hospital. The defect was 49 cm×20 cm in size. A huge conjoined abdominal flap was designed with perforating branch of right lateral circumflex femoral artery and inferior epigastric artery as the vascular pedicles. The total length of the conjoined flap was 66 cm with the width of 9-13 cm. An ipsilateral ALTF was taken and it was combined with the conjoined flap in parallel to form an extra-large flap for wound reconstruction. Twenty-two months after surgery, the flap in left leg was not significantly bloated and without ulceration in left heel. The affected leg was not hindering the patient from walking and slow running. Lower Extremity Function Score (LEFS) was used to evaluate the affected leg and a score of 61 was achieved. Only linear scars were left on the donor sites in thighs and abdomen without dysfunction, and scored 4 of Vancouver Scar Scale (VSS).
