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Extended anterolateral thigh pedicled flap for reconstruction of trochanteric and gluteal defects: A new & innovative approach for reconstruction |
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| Authors: | GI Nambi Abhijeet Ashok Salunke Szeryn Chung KS Raj Kumar Vikram Anil Chaudhari and Anant Dattaray Dhanwate |
| Institution: | Plastic & Reconstructive Microvascular Services, Kovai Medical Center & Hospital, Tamilnadu 641014, India,Department of Orthopedics, Pramukswami Medical College, Gujrat, India,Department of Hand Surgery, Singapore General Hospital, Singapore,General & Laparoscopic Surgical Services, Kovai Medical Center & Hospital, Tamilnadu 641014, India,Division of G.I. Surgical Oncology, Tata Memorial Hospital, Mumbai, India and Department of Anatomy, Government Medical College, Aurangabad, India |
| Abstract: | Descending branch of the lateral circumflex femoral artery (LCFA) is commonly used pedicle for anterolateral thigh (ALT) flap. Oblique branch of LCFA is an alternative pedicle that can be used in microvascular surgery. According to review of literature and to the best of our knowledge we could not find the use of oblique branch of LCFA as a pedicle of the ALT flap in regional soft tissue reconstruction. Here we presented a case of a 55-year-old man sustaining soft tissue injury and wound over the left trochanteric and gluteal region following a road traffic accident, who was treated by the use of extended ALT pedicle flap with oblique branch of LCFA as the pedicle for reconstruction of soft tissue defect in trochanteric and gluteal regions with successful outcome. |
| Keywords: | Anterolateral thigh flapLateral circumflex femoral arteryGluteal defectTrochanteric defect |
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