Arid
DOI10.1055/s-0034-1395888
Reconstruction of Foot and Ankle Defects with a Free Anterolateral Thigh Flap in Pediatric Patients
Acar, Mehmet Ali; Gulec, Ali; Aydin, Bahattin Kerem; Erkocak, Omer Faruk; Yilmaz, Guney; Senaran, Hakan
通讯作者Acar, Mehmet Ali
来源期刊JOURNAL OF RECONSTRUCTIVE MICROSURGERY
ISSN0743-684X
EISSN1098-8947
出版年2015
卷号31期号:3页码:225-232
英文摘要

Background There are a limited number of published studies describing reconstruction with an anterolateral thigh (ALT) flap following lower extremity injury in pediatric patients. The aim of this study was to present our experiences with the application of a free ALT flap not only in the reconstruction of soft tissue defects around the pediatric foot arid ankle but also in patients with bone, tendon, and ligament injuries that require repair.


Materials and Methods Reconstruction with a free ALT flap was performed in 11 pediatric patients (mean age, 8.9 years; range, 3-15 years) between November 2010 and February 2013. The modes of injury were as follows: six traffic accidents, three firearm accidents, one agricultural machinery accident, and one bicycle chain accident. A retrospective evaluation of the applied surgical procedures was performed: flap size, perforator type and number, placement area, site of anastomosis, closure of the donor site, complications, and flap survival.


Results The mean size of the skin flap was 83.2 mm(2) (range, 48-117 mm(2)). Except for two patients, there were two perforators in the obtained flaps, which were 75% musculocutaneous and 25% septocutaneous. To strengthen the Achilles tendon in one patient, the ALT, together with the fascia lata, was raised as a composite flap. This flap was used as a "sensate flap" in three patients with defects in the heel area and as a "perforator flap" in seven patients. Anastomosis was performed in the anterior tibial artery in five patients and in the posterior tibial artery in six patients. Primary closure was performed for the donor site in all patients. Due to venous thrombus after 24 hours in one patient, reexploration was performed, and blood flow was regained with a vein graft. In the same patient, partial necrosis developed on the lateral edge of the flap; after debridement of the necrotic areas, closure was performed with a split thickness skin graft. After the ALT flap procedure, the primary flap survival rate was 90.9%.


Conclusion The free ALT flap could be a safe, reliable, and aesthetically appealing option for foot/ankle resurfacing in children after traumatic soft tissue loss. The ALT flap can cover a far greater area and provide the versatility needed to optimize soft-tissue coverage.


英文关键词foot and ankle free anterolateral thigh flap pediatric reconstruction trauma
类型Article
语种英语
国家Turkey
收录类别SCI-E
WOS记录号WOS:000350188800010
WOS关键词FREE-TISSUE TRANSFER ; LOWER-EXTREMITY RECONSTRUCTION ; CHILDREN ; OUTCOMES ; MICROSURGERY ; SELECTION ; INJURIES ; SERIES
WOS类目Surgery
WOS研究方向Surgery
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/188932
作者单位Selcuk Univ, Dept Orthopaed & Traumatol, Sch Med, Konya, Turkey
推荐引用方式
GB/T 7714
Acar, Mehmet Ali,Gulec, Ali,Aydin, Bahattin Kerem,et al. Reconstruction of Foot and Ankle Defects with a Free Anterolateral Thigh Flap in Pediatric Patients[J],2015,31(3):225-232.
APA Acar, Mehmet Ali,Gulec, Ali,Aydin, Bahattin Kerem,Erkocak, Omer Faruk,Yilmaz, Guney,&Senaran, Hakan.(2015).Reconstruction of Foot and Ankle Defects with a Free Anterolateral Thigh Flap in Pediatric Patients.JOURNAL OF RECONSTRUCTIVE MICROSURGERY,31(3),225-232.
MLA Acar, Mehmet Ali,et al."Reconstruction of Foot and Ankle Defects with a Free Anterolateral Thigh Flap in Pediatric Patients".JOURNAL OF RECONSTRUCTIVE MICROSURGERY 31.3(2015):225-232.
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