Original ArticleThe Proximal Pedicled Anterolateral Thigh Flap for Lower Limb CoverageHallock, Geoffrey G. MDAuthor Information From the Division of Plastic Surgery, The Lehigh Valley Hospitals, Allentown, PA. Received June 3, 2005; accepted for publication August 2, 2005. Reprints: Geoffrey G. Hallock, MD, 1230 S. Cedar Crest Blvd., Suite 306, Allentown, PA 18103. E-mail: [email protected]. Annals of Plastic Surgery: November 2005 - Volume 55 - Issue 5 - p 466-469 doi: 10.1097/01.sap.0000184462.04343.e6 Buy Metrics AbstractIn Brief Although primarily considered as a versatile free-flap donor site, the anterolateral thigh can also be a source of a local muscle perforator flap. This attribute has previously been rarely considered for lower limb coverage. This small series of 3 additional cases demonstrates the usefulness of a proximal pedicled anterolateral thigh flap for medial and lateral thigh wounds. This flap can also be part of a combined flap, in particular when transferred with the vastus lateralis muscle as a local chimeric flap. The peninsular version of the anterolateral thigh local flap avoids venous congestion and is very reliable. The orthograde pedicled anterolateral thigh muscle perforator flap should be considered as another useful alternative for any upper thigh wound if a flap is essential. Three medial and lateral thigh wounds were successfully reconstructed with the orthograde pedicled anterolateral thigh perforator flap. Transfer as a perforator flap avoided venous congestion. © 2005 Lippincott Williams & Wilkins, Inc.