title: Reconstruction of two separate defects in the upper extremity using anterolateral thigh chimeric flap.
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.
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.|Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China.|Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, China.
authors.forename: Feng
authors.initials: F
authors.lastname: Peng
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.|Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China.|Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, China.
authors.forename: Lin
authors.initials: L
authors.lastname: Chen
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.|Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China.|Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, China.
authors.forename: Dong
authors.initials: D
authors.lastname: Han
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.|Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China.|Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, China.
authors.forename: Chenwei
authors.initials: C
authors.lastname: Xiao
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.|Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China.|Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, China.
authors.forename: Qiyuan
authors.initials: Q
authors.lastname: Bao
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.|Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China.|Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, China.
authors.forename: Tao
authors.initials: T
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005543:Forearm Injuries / Q000601:surgery*; D058752:Free Tissue Flaps / Q000098:blood supply / Q000637:transplantation*; D006085:Graft Survival; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013848:Thigh / Q000098:blood supply / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult