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I. Koshima, Yuzaburo Nanba, Tetsuya Tsutsui, Yoshio Takahashi (2003)
New Anterolateral Thigh Perforator Flap With a Short Pedicle for Reconstruction of Defects in the Upper ExtremitiesAnnals of Plastic Surgery, 51
James Liau, L. Pu (2007)
Reconstruction of a large upper tibial wound extending to the knee with a free latissimus dorsi flap: Optimizing the outcomesMicrosurgery, 27
Y. Demirtaş, S. Ayhan, Yakup Sariguney, Fulya Findikçioğlu, Onur Çukurluoğlu, O. Latifoğlu, S. Çenetoğlu (2006)
Distally Based Lateral and Medial Leg Adipofascial Flaps: Need for Caution with Old, Diabetic PatientsPlastic and Reconstructive Surgery, 117
C. Tsai, Sin-Daw Lin, Chung-Sheng Lai, C. Chou, Tsai-Ming Lin (1995)
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S. Yıldırım, G. Avci, M. Akan, A. Misirlioğlu, T. Aköz (2003)
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W. Swartz, S. Ramasastry, J. McGill, J. Noonan (1987)
Distally based vastus lateralis muscle flap for coverage of wounds about the knee.Plastic and reconstructive surgery, 80 2
J. Hong, H. Lee, Y. Chung, Sug-Won Kim, K. Tark (2003)
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A. Gravvanis, D. Tsoutsos, D. Karakitsos, P. Panayotou, T. Iconomou, G. Zografos, A. Karabinis, O. Papadopoulos (2006)
Application of the pedicled anterolateral thigh flap to defects from the pelvis to the kneeMicrosurgery, 26
Kavita Malhotra, T. Lian, V. Chakradeo (2008)
Vascular Anatomy of Anterolateral Thigh FlapThe Laryngoscope, 118
Hung-Chi Chen, Yueh‐bih Tang (2003)
Anterolateral thigh flap: an ideal soft tissue flap.Clinics in plastic surgery, 30 3
Chih-Yuan Chen, C. Hsieh, Y. Kuo, S. Jeng (2007)
An anterolateral thigh perforator flap from the ipsilateral thigh for soft-tissue reconstruction around the knee.Plastic and reconstructive surgery, 120 2
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Anatomical study of lateral circumflex femoral arterial system for the anterolateral thigh flap.Minerva chirurgica, 63 4
J. Shim, Hyo Kim (2006)
A novel reconstruction technique for the knee and upper one third of lower leg.Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 59 9
Shin-Chen Pan, Jui-Chin Yu, S. Shieh, Jing‐Wei Lee, Bu-Miin Huang, H. Chiu (2004)
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Y. Kuo, Po-Chung An, Mei-Hui Kuo, Nai-Siong Kueh, Sheng-Fa Yao, S. Jeng (2008)
Reconstruction of knee joint soft tissue and patellar tendon defects using a composite anterolateral thigh flap with vascularized fascia lata.Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 61 2
Secondary reconstruction of lower extremity defects using local tissues is demanding and fraught with potential complications. Reconstructive efforts may be challenged by pre‐existing scarring, paucity of recipient vessels, and patient co‐morbidities limiting tolerance for prolonged and extensive surgery. We present a case of an 81‐year‐old male with a recurrent malignant melanoma invading the proximal and middle third of the tibia, who previously underwent reconstruction with the medial gastrocnemius muscle and a skin graft. After wide local re‐excision and tibia fixation, a 12 cm × 28 cm reverse anterolateral thigh flap was used for soft tissue coverage. Because of the relatively large size of the flap based upon retrograde flow, we elected to supercharge the flap to augment its blood supply. Supercharging of the flap pedicle was accomplished by anastamosing the lateral circumflex femoral vessels to the anterior tibial vessels. The donor site wasclosed primarily. The flap survived entirely and successfully endured subsequent radiation therapy. Supercharging enhances reliability of the reverse anterolateral thigh flap, and thus, permits harvest of large tissue bulk for coverage of up to proximal two‐thirds of the tibia.This is the first report describing successful supercharging of a large reverse anterolateral thigh flap which resulted in entire flap survival. © 2010 Wiley‐Liss, Inc. Microsurgery 30:397–400, 2010.
Microsurgery – Wiley
Published: Jul 1, 2010
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