Annals of Plastic Surgery

Skip Navigation LinksHome > July 2008 - Volume 61 - Issue 1 > Proximal Pedicled Anterolateral Thigh Flap for Reconstructio...
Annals of Plastic Surgery:
doi: 10.1097/SAP.0b013e318151fb5b
Reconstructive Surgery and Burns

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

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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.

© 2008 Lippincott Williams & Wilkins, Inc.


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