Reconstruction of two separate defects in the upper extremity using anterolateral thigh chimeric flap |
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| Authors: | Feng Peng MD PhD Lin Chen MD Dong Han MD Chenwei Xiao MD Qiyuan Bao MD Tao Wang MD |
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| Institution: | 1. Department of Hand Surgery, Huashan Hospital, Fudan University, , Shanghai, China;2. Key Laboratory of Hand Reconstruction, Ministry of Health, , Shanghai, China;3. Key Laboratory of Peripheral Nerve and Microsurgery, , Shanghai, China |
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| Abstract: | We presented our experience on the use of anterolateral thigh (ALT) chimeric flap to reconstruct two separate defects in upper extremity. From December 2009 to August 2012, we used this ALT chimeric flap to reconstruct two separate defects in upper extremity on five patients (mean age: 36.6 years; range: 15～47 years). The locations of defect were palm and fingers in four patients and forearm in the other patient. The sizes of defect ranged from 4.5 × 1.5 cm to 20 × 10 cm. A minimum of two separate perforator vessels in the flap were identified. The skin paddle was then split between the two perforators to shape two separate paddles with a common vascular supply. There were no cases of flap failure or re‐exploration. Four donor sites were directly closed and one was covered by a skin graft. Donor‐site morbidity was negligible. The ALT chimeric flap provides customized cover for two separate defects in upper extremity. © 2013 Wiley Periodicals, Inc. Microsurgery 33:631–637, 2013. |
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