Free anteromedial thigh flap: clinical application and review of literature.
The anteromedial thigh (AMT) flap is reviewed in terms of its vascular anatomy and previous clinical reports in the literature. Our own series of 5 patients treated with this flap for defects in the head and neck region and lower extremity is presented. Although several authors controversially discussed vasculature, we constantly found the pedicle as an emerging septocutaneous perforator at a point where the medial border of the rectus femoris muscle is crossed by the sartorius muscle. In all 5 patients, the AMT flap provided stable coverage with no flap loss. Based on our findings, we conclude that the anteromedial thigh flap offers all the advantages of fasciocutaneous flaps. Therefore, we recommend this flap as an alternative for defects requiring coverages of thin to moderate skin thickness. However, it should be remembered that variations in vascular anatomy are possible.
Schoeller
Thomas
T
Department of Plastic and Reconstructive Surgery and Ludwig-Boltzmann Institute for Quality Control in Plastic and Reconstructive Surgery, Leopold-Franzens University, Innsbruck, Austria.
Huemer
Georg M
GM
Shafighi
Maziar
M
Gurunluoglu
Raffi
R
Wechselberger
Gottfried
G
Piza-Katzer
Hildegunde
H
D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D017719:Diabetic Foot / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply; D013848:Thigh