Clinical applications on anterolateral thigh free flap transfer bridged by posterior tibial vascular flaps from the healthy leg
ZHANG Da-wei
ZHU Yong-gang
LI Jun
ZHAO Guang-yue
PEI Guo-xian
Abstract：Objective To provide a clinical method in the treatment of soft tissue defect in lower extremities by anterolateral thigh free flap transfer in cases without usable blood vessels in receiving areas. Methods Posterior tibial vascular flaps were designed as supplying blood vessel pedicles to carry anterolateral thigh free flaps for soft tissue defect repair. Both lower extremities were fixed in a parallel style. Results Anterograde posterior tibial vascular flap with anterolateral thigh free flap transfer was applied successfully in 15 cases of lower limb defect reconstruction. All combined flaps survived, and defects were reconstructed. Compared to cross-leg flaps, it was more easier to observe blood supply of flaps, change dressing and functional exercise in parallel-leg style. Conclusions Parallel-leg style combined flap is an ideal method in free flap transfer in the cases with large soft tissue defects without usable blood vessels in the receiving area.
Keywords：Surgical flapsSoft tissue injuriesFracturesopenMicrosurgeryLeg
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 928-930 )