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Simple Approach to Harvest of the Anterolateral Thigh Flap

Saint-Cyr, Michel M.D.; Oni, Georgette M.D.; Lee, Michael M.D.; Yi, Christina B.A.; Colohon, Shannon M. M.D.

Plastic and Reconstructive Surgery: January 2012 - Volume 129 - Issue 1 - p 207–211
doi: 10.1097/PRS.0b013e318233ef4a
Reconstructive: Lower Extremity: Ideas and Innovations

Summary: The free anterolateral thigh flap has proven to be invaluable for many types of reconstruction, ranging from upper and lower extremity trauma to head and neck reconstruction. There exist some controversies relating to certain difficulties in flap harvest because of the intramuscular route of its major perforator, which can exceed 80 percent and create a longer, more tedious dissection. Strategies to expedite flap harvest and minimize technical challenges have been proposed. The authors propose a simplified approach to harvest the anterolateral thigh flap founded on topographic surface anatomy and the intrinsic vascular anatomy of the flap. No Doppler imaging or angiography is used for preoperative perforator mapping.


Dallas, Texas

From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.

Received for publication April 21, 2011; accepted June 17, 2011.

Disclosure:The authors have no financial interest to declare in relation to the content of this article.

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Michel Saint-Cyr, M.D.; Department of Plastic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, Texas 75390-9132,

©2012American Society of Plastic Surgeons