Antegrade anterolateral thigh perforator flap advancement for soft-tissue reconstruction of the knee: case report.
Reconstruction of soft-tissue defects of the knee has always been a challenging task to the plastic surgeon. In some cases, local or regional flaps are too small or have limited arc of rotation for adequate coverage. Free flaps can be technically demanding and time consuming. We report for the first time an antegrade anterolateral thigh perforator flap advancement, used to reconstruct the knee soft tissue defect in a 54-year-old man. The operative procedure required skeletonizing the perforators of anterolateral thigh flap and advancing the flap in the defect. The postoperative course was uneventful with the patient returned to normal daily activity and full range of motion 3-months postoperatively. The shorter operating time with decreased donor-site morbidity make this flap as a valuable alternative for soft-tissue reconstruction of the knee.
Fujiwara
Takashi
T
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Chen
Chien-Chang
CC
Ghetu
Nicolae
N
Jeng
Seng-Feng
SF
Kuo
Yur-Ren
YR
D002056:Burns / Q000601:surgery; D058752:Free Tissue Flaps / Q000098:blood supply; D006801:Humans; D007717:Knee / Q000601:surgery*; D007718:Knee Injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply*