Maximizing the Utility of the Pedicled Anterolateral Thigh Flap for Locoregional Reconstruction: Technical Pearls and Pitfalls.
The pedicled anterolateral thigh (PALT) flap is an underutilized flap for locoregional reconstruction largely because methods to maximize its reach are neither universally implemented nor fully understood. In addition, most of the available literature has focused on the utility of the free anterolateral thigh flap with less emphasis on the PALT flap. Moreover, flap design concepts to maximize its utility and reach and optimize outcomes have not been comprehensively described. In an effort to address this knowledge gap, the authors sought to review their institution's experience with the PALT flap for locoregional reconstruction.
Division of Plastic and Reconstructive Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Aparna
A
Vijayasekaran
Division of Plastic and Reconstructive Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Waleed
W
Gibreel
Division of Plastic and Reconstructive Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Brian T
BT
Carlsen
Division of Plastic and Reconstructive Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Steven L
SL
Moran
Division of Plastic Surgery, Baylor Scott & White Health, Scott & White Memorial Hospital, MS-01-E443, 2401 South 31st Street, Temple, TX 76508, USA.
Michel
M
Saint-Cyr
Division of Plastic and Reconstructive Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Karim
K
Bakri
Division of Plastic and Reconstructive Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: Sharaf.basel@mayo.edu.
Basel
B
Sharaf
D006801:Humans; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods*; D013524:Surgical Flaps; D013848:Thigh / Q000098:blood supply* / Q000601:surgery*; D020858:Tissue and Organ Harvesting / Q000009:adverse effects / Q000379:methods
ALT flap technique; Abdominal reconstruction; Anterolateral thigh flap (ALT); Pedicled perforator flap; Perineal reconstruction; Trochanteric reconstruction