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Microdissected thin anterolateral thigh perforator flaps with multiple perforators: A series of case reports

INTRODUCTION: The study aimed to explore the effect of microdissected thin anterolateral thigh (MTALT) perforator flap with multiple perforators on patients with complex defects on the hand, elbow, heel, or knee. METHODS: From March 2012 to February 2013, 5 patients with complex defects on the hand,...

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Autores principales: Liang, Jiu-long, Liu, Xiao-yan, Qiu, Tao, Fu, Zhi-qiang, Wang, Hong-yi, Kong, Xu, Tao, Kai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5794355/
https://www.ncbi.nlm.nih.gov/pubmed/29369171
http://dx.doi.org/10.1097/MD.0000000000009454
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author Liang, Jiu-long
Liu, Xiao-yan
Qiu, Tao
Fu, Zhi-qiang
Wang, Hong-yi
Kong, Xu
Tao, Kai
author_facet Liang, Jiu-long
Liu, Xiao-yan
Qiu, Tao
Fu, Zhi-qiang
Wang, Hong-yi
Kong, Xu
Tao, Kai
author_sort Liang, Jiu-long
collection PubMed
description INTRODUCTION: The study aimed to explore the effect of microdissected thin anterolateral thigh (MTALT) perforator flap with multiple perforators on patients with complex defects on the hand, elbow, heel, or knee. METHODS: From March 2012 to February 2013, 5 patients with complex defects on the hand, elbow, heel, or knee were included. During the flap preparation, 2 to 3 perforators penetrating the fascia of the anterolateral femoral area were initially detected, and the deep fascia was incised. The superficial fascia layer of the flap and the deep adipose were then dissected, and removed after verifying the distribution of the blood vessels using an operating microscope. The whole flap was then elevated, and transposed to the recipient areas for microsurgical reparation. RESULTS: Two cases of post-burn scar contracture and 3 cases of traumatic tissue defects were successfully reconstructed with these multiple-perforator MTALT flaps. No complication was reported, and secondary operative procedure was not needed in any patient in the follow-up. CONCLUSION: MTALT perforator flap with multiple perforators is safe and reliable for patients with complex defects on the hand, elbow, heel, or knee.
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spelling pubmed-57943552018-02-07 Microdissected thin anterolateral thigh perforator flaps with multiple perforators: A series of case reports Liang, Jiu-long Liu, Xiao-yan Qiu, Tao Fu, Zhi-qiang Wang, Hong-yi Kong, Xu Tao, Kai Medicine (Baltimore) 7100 INTRODUCTION: The study aimed to explore the effect of microdissected thin anterolateral thigh (MTALT) perforator flap with multiple perforators on patients with complex defects on the hand, elbow, heel, or knee. METHODS: From March 2012 to February 2013, 5 patients with complex defects on the hand, elbow, heel, or knee were included. During the flap preparation, 2 to 3 perforators penetrating the fascia of the anterolateral femoral area were initially detected, and the deep fascia was incised. The superficial fascia layer of the flap and the deep adipose were then dissected, and removed after verifying the distribution of the blood vessels using an operating microscope. The whole flap was then elevated, and transposed to the recipient areas for microsurgical reparation. RESULTS: Two cases of post-burn scar contracture and 3 cases of traumatic tissue defects were successfully reconstructed with these multiple-perforator MTALT flaps. No complication was reported, and secondary operative procedure was not needed in any patient in the follow-up. CONCLUSION: MTALT perforator flap with multiple perforators is safe and reliable for patients with complex defects on the hand, elbow, heel, or knee. Wolters Kluwer Health 2018-01-26 /pmc/articles/PMC5794355/ /pubmed/29369171 http://dx.doi.org/10.1097/MD.0000000000009454 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle 7100
Liang, Jiu-long
Liu, Xiao-yan
Qiu, Tao
Fu, Zhi-qiang
Wang, Hong-yi
Kong, Xu
Tao, Kai
Microdissected thin anterolateral thigh perforator flaps with multiple perforators: A series of case reports
title Microdissected thin anterolateral thigh perforator flaps with multiple perforators: A series of case reports
title_full Microdissected thin anterolateral thigh perforator flaps with multiple perforators: A series of case reports
title_fullStr Microdissected thin anterolateral thigh perforator flaps with multiple perforators: A series of case reports
title_full_unstemmed Microdissected thin anterolateral thigh perforator flaps with multiple perforators: A series of case reports
title_short Microdissected thin anterolateral thigh perforator flaps with multiple perforators: A series of case reports
title_sort microdissected thin anterolateral thigh perforator flaps with multiple perforators: a series of case reports
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5794355/
https://www.ncbi.nlm.nih.gov/pubmed/29369171
http://dx.doi.org/10.1097/MD.0000000000009454
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