Knee and Ankle Reconstruction With Reverse Anterolateral Thigh and Free Anterolateral Thigh Flap From One Donor Site.
Traditionally, the anterolateral thigh (ALT) free flap is used in distal lower extremity reconstruction. Reverse ALT flap has become one of the most popular choices for knee joint soft tissue defects. A 53-year-old man sustained a degloving injury in the right lateral side of the lower extremity from the lateral malleolar area to the knee joint area. The contamination was severe, necessitating serial debridement and negative pressure wound therapy. After 4 weeks, no more soft tissue necrosis was evident. No more microorganism growth was confirmed by swab culture. ALT free flap using proximal perforator was planned for lateral malleolar area reconstruction and reverse ALT flap using distal perforator was planned to cover knee joint after confirming the pedicle length was sufficient for simultaneous knee and lateral malleolar area reconstruction.
Department of Plastic and Reconstructive Surgery, Ajou University, School of Medicine, Suwon, Korea.
KyeongBeom
K
Choi
Department of Orthopedic Surgery, Ajou University, School of Medicine, Suwon, Korea.
JaeHo
J
Cho
Department of Plastic and Reconstructive Surgery, Ajou University, School of Medicine, Suwon, Korea.
MyongChul
M
Park
Department of Plastic and Reconstructive Surgery, Ajou University, School of Medicine, Suwon, Korea.
Dong Ha
DH
Park
Department of Plastic and Reconstructive Surgery, Ajou University, School of Medicine, Suwon, Korea i00325@live.co.kr.
Il Jae
IJ
Lee
D016512:Ankle Injuries / Q000601:surgery*; D000069836:Degloving Injuries / Q000601:surgery*; D058752:Free Tissue Flaps; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D061525:Perforator Flap; D011183:Postoperative Complications / Q000175:diagnosis / Q000517:prevention & control; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D017695:Soft Tissue Injuries / Q000601:surgery*; D016896:Treatment Outcome
free tissue flaps; perforator flap; reconstructive surgical procedures; surgical flaps