Muscle herniation: a complication at the anterolateral thigh perforator flap donor site.
The anterolateral perforator flap is becoming the flap of choice for a wide variety of complex defects. It has been known to provide excellent donor site morbidity even in cases where vastus lateralis is included within the flap. We report a case of herniation of the vastus lateralis and rectus femoris muscles through the overlying fascia, following ALT perforator flap harvest. In this case muscle herniation at the donor site required surgical repair.
Department of Plastic and Reconstructive Surgery, Mount Vernon Hospital, Northwood, Middlesex HA6 2RN, UK. everjoyous@aol.com
J
J
Odili
E
E
Wilson
J S
JS
Chana
D000063:Accidents, Traffic; D000328:Adult; D003131:Combined Modality Therapy; D003646:Debridement; D005360:Fibula / Q000293:injuries / Q000601:surgery; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D005597:Fractures, Open / Q000209:etiology / Q000601:surgery*; D006547:Hernia / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D007869:Leg Injuries / Q000209:etiology / Q000601:surgery; D008297:Male; D009135:Muscular Diseases / Q000209:etiology / Q000601:surgery*; D052097:Quadriceps Muscle / Q000601:surgery / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods; D012086:Reoperation; D018570:Risk Assessment; D013524:Surgical Flaps / Q000009:adverse effects* / Q000098:blood supply; D013848:Thigh; D013978:Tibial Fractures / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome