Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Discussion: Use of the Fix and Flap Approach to Complex Open Elbow Injury: The Role of the Free Anterolateral Thigh Flap

  • Zhang, Yixin (Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine)
  • Received : 2012.02.21
  • Accepted : 2012.02.23
  • Published : 2012.03.15
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Abstract

Fast improvements in microsurgery have opened new strategies in the field of reconstructive trauma surgery that can be applied to severe elbow trauma management. The disadvantages of pedicle flaps can be overcome in the hand of an experienced trauma surgeon by using free flaps based on the perforators. This provides the patient with the best possible wound cover within the optimal time frame and the treatment of underlying additional structural damage. Although the authors presented only a small number of cases, the results of this study are promising and encourage the use of the ALT flap for the treatment of severe elbow trauma.

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References

  1. Choudry UH, Moran SL, Li S, et al. Soft-tissue coverage of the elbow: an outcome analysis and reconstructive algorithm. Plast Reconstr Surg 2007;119:1852-7. https://doi.org/10.1097/01.prs.0000259182.53294.67
  2. Stevanovic M, Sharpe F, Itamura JM. Treatment of soft tissue problems about the elbow. Clin Orthop Relat Res 2000; (370):127-37.
  3. Wei FC, Jain V, Celik N, et al. Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps. Plast Reconstr Surg 2002;109:2219-26. https://doi.org/10.1097/00006534-200206000-00007
  4. Celik N, Wei FC, Lin CH, et al. Technique and strategy in anterolateral thigh perforator flap surgery, based on an analysis of 15 complete and partial failures in 439 cases. Plast Reconstr Surg 2002;109:2211-6. https://doi.org/10.1097/00006534-200206000-00005
  5. Kawai K, Imanishi N, Nakajima H, et al. Vascular anatomy of the anterolateral thigh flap. Plast Reconstr Surg 2004;114: 1108-17.
  6. Wang HT, Fletcher JW, Erdmann D, et al. Use of the anterolateral thigh free flap for upper-extremity reconstruction. J Hand Surg Am 2005;30:859-64. https://doi.org/10.1016/j.jhsa.2005.03.016

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