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Proximal Pedicled Anterolateral Thigh Flap for Reconstruction of Trochanteric Defect

Tzeng, Yuan-Sheng MD; Yu, Chien-Chih MD; Chou, Trong-Duo MD; Chen, Tim-Mo MD; Chen, Shyi-Gen MD

Annals of Plastic Surgery:
doi: 10.1097/SAP.0b013e318151fb5b
Reconstructive Surgery and Burns
Abstract

We describe our experience using the proximal pedicled anterolateral thigh (ALT) flap for the reconstruction of trochanteric defects. Seven ALT island flap procedures were performed in 6 patients between September 2006 and May 2007. Four of the 7 patients had trochanteric pressure sores because of paraplegia. In these patients, intramuscular perforators were dissected to raise a fasciocutaneous flap. Three myocutaneous flaps of the vastus lateralis muscle were used to treat osteomyelitis of the trochanter with implant extrusion. The mean follow-up was 7 months (range, 2–12 months), and all flaps survived. Trochanteric coverage with the proximal pedicled ALT flap gave excellent results. We conclude that the ALT flap is a reliable flap for trochanteric coverage.

Author Information

From the Division of Plastic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.

Received June 21, 2007 and accepted for publication July 13, 2007.

Reprints: Shyi-Gen Chen, MD, Division of Plastic Surgery, Department of Surgery, Tri-Service General Hospital, No. 325, Sec. 2, Cheng-Kung Road, Nei-Hu 114, Taipei, Taiwan, Republic of China. E-mail: shyigen@ms26.hinet.net.

© 2008 Lippincott Williams & Wilkins, Inc.