Lower Extremity Reconstruction Using Vastus Lateralis Myocutaneous Flap versus Anterolateral Thigh Fasciocutaneous Flap
BackgroundThe anterolateral thigh (ALT) perforator flap has become a popular option for treating soft tissue defects of lower extremity reconstruction and can be combined with a segment of the vastus lateralis muscle. We present a comparison of the use of the ALT fasciocutaneous (ALT-FC) and myocuta...
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Korean Society of Plastic and Reconstructive Surgeons
2012-07-01
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doaj-bd5930d145a543489bce9941174d07882020-11-25T00:35:11ZengKorean Society of Plastic and Reconstructive SurgeonsArchives of Plastic Surgery2234-61632234-61712012-07-0139436737558Lower Extremity Reconstruction Using Vastus Lateralis Myocutaneous Flap versus Anterolateral Thigh Fasciocutaneous FlapMin Jae Lee0In Sik Yun1Dong Kyun Rah2Won Jai Lee3Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea.Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea.Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea.Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea.BackgroundThe anterolateral thigh (ALT) perforator flap has become a popular option for treating soft tissue defects of lower extremity reconstruction and can be combined with a segment of the vastus lateralis muscle. We present a comparison of the use of the ALT fasciocutaneous (ALT-FC) and myocutaneous flaps.MethodsWe retrospectively reviewed patients in whom free-tissue transfer was performed between 2005 and 2011 for the reconstruction of lower extremity soft-tissue defects. Twenty-four patients were divided into two groups: reconstruction using an ALT-FC flap (12 cases) and reconstruction using a vastus lateralis myocutaneous (VL-MC) flap (12 cases). Postoperative complications, functional results, cosmetic results, and donor-site morbidities were studied.ResultsComplete flap survival was 100% in both groups. A flap complication was noted in one case (marginal dehiscence) of the ALT-FC group, and no complications were noted in the VL-MC group. In both groups, one case of partial skin graft loss occurred at the donor site, and debulking surgeries were needed for two cases. There were no significant differences in the mean scores for either functional or cosmetic outcomes in either group.ConclusionsThe VL-MC flap is able to fill occasional dead space and has comparable survival rates to ALT-FC with minimal donor-site morbidity. Additionally, the VL-MC flap is easily elevated without myocutaneous perforator injury.http://www.e-aps.org/upload/pdf/aps-39-367.pdfFree tissue flapsLower extremityQuadriceps muscle |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Min Jae Lee In Sik Yun Dong Kyun Rah Won Jai Lee |
spellingShingle |
Min Jae Lee In Sik Yun Dong Kyun Rah Won Jai Lee Lower Extremity Reconstruction Using Vastus Lateralis Myocutaneous Flap versus Anterolateral Thigh Fasciocutaneous Flap Archives of Plastic Surgery Free tissue flaps Lower extremity Quadriceps muscle |
author_facet |
Min Jae Lee In Sik Yun Dong Kyun Rah Won Jai Lee |
author_sort |
Min Jae Lee |
title |
Lower Extremity Reconstruction Using Vastus Lateralis Myocutaneous Flap versus Anterolateral Thigh Fasciocutaneous Flap |
title_short |
Lower Extremity Reconstruction Using Vastus Lateralis Myocutaneous Flap versus Anterolateral Thigh Fasciocutaneous Flap |
title_full |
Lower Extremity Reconstruction Using Vastus Lateralis Myocutaneous Flap versus Anterolateral Thigh Fasciocutaneous Flap |
title_fullStr |
Lower Extremity Reconstruction Using Vastus Lateralis Myocutaneous Flap versus Anterolateral Thigh Fasciocutaneous Flap |
title_full_unstemmed |
Lower Extremity Reconstruction Using Vastus Lateralis Myocutaneous Flap versus Anterolateral Thigh Fasciocutaneous Flap |
title_sort |
lower extremity reconstruction using vastus lateralis myocutaneous flap versus anterolateral thigh fasciocutaneous flap |
publisher |
Korean Society of Plastic and Reconstructive Surgeons |
series |
Archives of Plastic Surgery |
issn |
2234-6163 2234-6171 |
publishDate |
2012-07-01 |
description |
BackgroundThe anterolateral thigh (ALT) perforator flap has become a popular option for treating soft tissue defects of lower extremity reconstruction and can be combined with a segment of the vastus lateralis muscle. We present a comparison of the use of the ALT fasciocutaneous (ALT-FC) and myocutaneous flaps.MethodsWe retrospectively reviewed patients in whom free-tissue transfer was performed between 2005 and 2011 for the reconstruction of lower extremity soft-tissue defects. Twenty-four patients were divided into two groups: reconstruction using an ALT-FC flap (12 cases) and reconstruction using a vastus lateralis myocutaneous (VL-MC) flap (12 cases). Postoperative complications, functional results, cosmetic results, and donor-site morbidities were studied.ResultsComplete flap survival was 100% in both groups. A flap complication was noted in one case (marginal dehiscence) of the ALT-FC group, and no complications were noted in the VL-MC group. In both groups, one case of partial skin graft loss occurred at the donor site, and debulking surgeries were needed for two cases. There were no significant differences in the mean scores for either functional or cosmetic outcomes in either group.ConclusionsThe VL-MC flap is able to fill occasional dead space and has comparable survival rates to ALT-FC with minimal donor-site morbidity. Additionally, the VL-MC flap is easily elevated without myocutaneous perforator injury. |
topic |
Free tissue flaps Lower extremity Quadriceps muscle |
url |
http://www.e-aps.org/upload/pdf/aps-39-367.pdf |
work_keys_str_mv |
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