Reversed arterial flow in free anterior lateral thigh flap surgery for limb reconstruction: report of 5 cases
YANG Yong
TIAN Wen
LI Zhong-zhe
LI Wen-jun
CHEN Shan-lin
TIAN Guang-lei
Abstract：Objective To investigate the indications, operative key points and clinical results of the free anterior lateral thigh flap supplied by reversed artery flow for limb reconstruction. Methods From December 2012 to June 2016, 5 cases of massive compound trauma in the forearm and leg were treated with free anterior lateral thigh flap. The artery of flap and its accompanying vein were anastomosed to the distal end of the anterior tibial artery or radial artery and the proximal end of great saphenous vein, small saphenous vein or cephalic vein respectively. Results All flaps presented good blood supply and survived without complications. At 8 to 14 months' follow-up, flaps were soft and aesthetically acceptable. Conclusions For compound trauma in the forearm and leg that involves main vessel defect, reconstruction with free anterior lateral thigh flap supplied by the reversed arterial flow is a safe and effective procedure.
Keywords：Surgical flapsMicrosurgeryWounds and injuries
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 266-269 )