Clinical effects of anterolateral thigh flap with blood supply source of medial femoral perforator in repairing the wounds on extremities

Yang Chengpeng; Tang Linfeng; Liu Zhijin; Liu Shengzhe; Yang Lin; Cheng Junnan; Zhang Tao; Sun Fengwen; Huang Yongtao; Gao Qinfeng; Ju Jihui

doi:10.3760/cma.j.cn501225-20220726-00310

Volume 39 Issue 9

Sep. 2023

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Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2023 > 39(9): 842-848

Yang CP,Tang LF,Liu ZJ,et al.Clinical effects of anterolateral thigh flap with blood supply source of medial femoral perforator in repairing the wounds on extremities[J].Chin J Burns Wounds,2023,39(9):842-848.DOI: 10.3760/cma.j.cn501225-20220726-00310.

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Clinical effects of anterolateral thigh flap with blood supply source of medial femoral perforator in repairing the wounds on extremities

doi: 10.3760/cma.j.cn501225-20220726-00310

Department of Hand Surgery, Suzhou Ruihua Orthopaedic Hospital, Suzhou 215104, China

Funds:

Jiangsu Young Medical Talents Project QNRC2016224

Suzhou Gusu Health Talents Plan Program 2020075

Key Technology Application Research of Suzhou Livelihood Science and Technology Project SS202092

Special Project on Diagnosis and Treatment Technology of Clinical Key Disease Species of Health Science and Education in Suzhou LCZX202026

Special Project of Suzhou Enterprise Engineering Technology Research Center SZS2019263

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Corresponding author: Ju Jihui, Email: jjh2006@263.net
Received Date: 2022-07-26

Abstract

Abstract

Objective To investigate clinical effects of anterolateral thigh flap with blood supply source of medial femoral perforator in repairing the wounds on extremities. Methods A retrospective observational study was conducted. From October 2018 to June 2021, Suzhou Ruihua Orthopedic Hospital admitted 12 patients (11 males and 1 female, aged 24-64 years) who met the inclusion criteria, and did not have the lateral circumflex femoral artery during anterolateral thigh flap resection, or changed to medial femoral perforator as a source of blood supply due to small perforator to repair the wound with flap transplantation. The wounds were on the upper limbs in 7 cases and on the lower limbs in 5 cases. The wound area after debridement was 8.0 cm×5.0 cm-24.0 cm×6.5 cm, and the applied flap area was 9 cm×6 cm-25 cm×7 cm. During transplantation, the perforating branch or source artery of the flap was anastomosed end to end with the vascular pedicle of the recipient area. Subcutaneous beauty suture was performed on all the donor wounds. After operation, the survival of the flap and vascular crisis were observed; and the wound healing at the donor site was observed. During follow-up, the texture of the flap and complications at the donor site were observed. At the last follow-up, the effect of flap repair was evaluated by using the modified self-made comprehensive efficacy rating table. Results After operation, all the flaps of patients survived without vascular crisis; the wounds in the donor site healed smoothly. During follow-up of 6 to 26 months, the flaps had good texture; only linear scars remained in the donor area without scar contracture, pain or other discomfort. At the last follow-up, the total score of flap repair effect of 12 patients was 75-95, with an average of 87, of which 5 cases were rated as excellent, 6 cases as good, and 1 case as fair, and the proportion of excellent and good patients was 11/12. Conclusions The application of anterolateral thigh flap with blood supply from the medial femoral perforator to repair wounds on extremities is an alternative method for the vascular variations such as no descending branch, oblique branch, or small perforator of the lateral circumflex femoral artery during the resection of the anterolateral thigh flap. This operation has the advantages of simple operation, small trauma, and others, which effectively ensures the smooth operation.
- Perforator flap,
- Microsurgery,
- Femoral artery,
- Anatomic variation,
- Medial thigh

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Clinical effects of anterolateral thigh flap with blood supply source of medial femoral perforator in repairing the wounds on extremities

doi: 10.3760/cma.j.cn501225-20220726-00310

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Clinical effects of anterolateral thigh flap with blood supply source of medial femoral perforator in repairing the wounds on extremities

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