Transplantation of flow-through anterolateral thigh flap combined with fibular flap for reconstruction of composite tissue defects at leg
10.3760/cma.j.issn.1009-4598.2017.05.003
- VernacularTitle: 股前外侧flow-through皮瓣联合腓骨(皮)瓣修复小腿复合组织缺损
- Author:
Kefeng XU
1
;
Shunhong GAO
;
Zhiliang YU
;
Wenlong ZHANG
;
Hongyu HU
;
Yunpeng ZHANG
;
Jingyu ZHANG
;
Jian WANG
Author Information
1. No.2 Department of Hand Surgery, Second Hospital of Tangshan, Affiliated Orthopedic Hospital of North China University of Science and Technology, Tangshan 063000, China
- Publication Type:Clinical Trail
- Keywords:
Surgical flap;
Osteocutaneous flap;
Composite tissue defects;
Transplantation
- From:
Chinese Journal of Plastic Surgery
2017;33(5):335-339
- CountryChina
- Language:Chinese
-
Abstract:
Methods:To explore the transplantation of flow-through anterolateral thigh flap combined with fibular flap for reconstruction of composite tissue defect at leg.
Method:12 cases with leg composite tissue defects were reconstructed by flow-through anterolateral thigh flaps combined with fibular flaps. The skin defects ranged from 6 cm×12 cm to 12 cm×20 cm. The bone defects were 4-10 cm in length.The size of flow-through anterolateral thigh flaps was 14 cm×8 cm to 23 cm×13 cm and the fibular osteocutaneous flaps were 6 cm×4 cm to 12 cm×6 cm. The fibular bone was harvested as 7 cm to 13 cm in length.
Results:All the flaps survived in 12 cases. Bony reunion was achieved in all the cases. Vascular crisis happened in 2 cases 1 day after operation. Margin necrosis occurred in distal end of one flap, which healed after dressing. All the flaps had soft texture with satisfactory cosmetic and functional result . There was no complication in donor sites.
Conclusions:Flow-through anterolateral thigh flap combined with fibular flap can reconstruct soft tissue defect and bone defect simultaneously. It is the ideal method for leg composite tissue defects.
