Thin and Thinned Anterolateral Thigh Flaps for Upper Extremity Reconstruction.
Autor: | Coquillard CL; Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Northwestern University, 259 East Erie Street Suite 2060, Chicago, IL 60611, USA., Bai J; Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Northwestern University, 259 East Erie Street Suite 2060, Chicago, IL 60611, USA., Ko JH; Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Northwestern University, 259 East Erie Street Suite 2060, Chicago, IL 60611, USA; Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, 259 East Erie Street Suite 2060, Chicago, IL 60611, USA. Electronic address: jason.ko@nm.org. |
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Jazyk: | angličtina |
Zdroj: | Hand clinics [Hand Clin] 2024 May; Vol. 40 (2), pp. 199-208. Date of Electronic Publication: 2024 Jan 11. |
DOI: | 10.1016/j.hcl.2023.12.001 |
Abstrakt: | Upper extremity reconstruction remains challenging due to the high functional and esthetic demands of this location. The anterolateral thigh (ALT) flap is a workhorse flap for microsurgical reconstruction of the upper extremity and can be elevated in various planes depending on desired thickness of the flap. Microsurgical reconstruction of the upper extremity often benefits from a thin flap that can resurface the extremity, which can provide improved functional and esthetic outcomes. This article reviews the anatomy, preoperative planning, and operative technique, as well as presents 4 cases to illustrate the outcomes and benefits of thin and thinned ALT flaps. Competing Interests: Disclosure J.H. Ko is a consultant for Integra Lifesciences, Inc.; Checkpoint Surgical, Inc.; EDGe Surgical, Inc.; and ImmersiveTouch, Inc. He is also on the Scientific Advisory Board for Mesh Suture, Inc. Otherwise, the authors have nothing to disclose. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
Databáze: | MEDLINE |
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