Fahmy, M., El habaa, G., ayad, W., Elgohary, H., Abdelmofeed, A. (2021). Free Anterolateral Thigh flap for traumatic soft tissue defects of distal third leg and foot Comparative study between Subfascial and Suprafascial dissection. Benha Medical Journal, 38(3), 1009-1018. doi: 10.21608/bmfj.2021.18550.1124
Mohamed Fahmy; Gamal El habaa; wael ayad; Hussein Elgohary; Ayman Abdelmofeed. "Free Anterolateral Thigh flap for traumatic soft tissue defects of distal third leg and foot Comparative study between Subfascial and Suprafascial dissection". Benha Medical Journal, 38, 3, 2021, 1009-1018. doi: 10.21608/bmfj.2021.18550.1124
Fahmy, M., El habaa, G., ayad, W., Elgohary, H., Abdelmofeed, A. (2021). 'Free Anterolateral Thigh flap for traumatic soft tissue defects of distal third leg and foot Comparative study between Subfascial and Suprafascial dissection', Benha Medical Journal, 38(3), pp. 1009-1018. doi: 10.21608/bmfj.2021.18550.1124
Fahmy, M., El habaa, G., ayad, W., Elgohary, H., Abdelmofeed, A. Free Anterolateral Thigh flap for traumatic soft tissue defects of distal third leg and foot Comparative study between Subfascial and Suprafascial dissection. Benha Medical Journal, 2021; 38(3): 1009-1018. doi: 10.21608/bmfj.2021.18550.1124
Free Anterolateral Thigh flap for traumatic soft tissue defects of distal third leg and foot Comparative study between Subfascial and Suprafascial dissection
1General Surgery department, faculty of medicine, Benha University, Egypt
2General surgery department, faculty of medicine, benha university, Egypt
3plastic surgery department, faculty of medicine, alazhar university, Egypt
4General surgey department, faculty of medicine, benha university, Egypt
Abstract
ABSTRACT Background Lower extremity injuries requiring soft tissue coverage comprises a significant proportion of these injuries. The advantage of free tissue transfer has provided multiple options for complex defects of the lower extremities that maintain the functional and aesthetic status of the limb. Since the first report of the ALT flap in 1984, it has become one of the most commonly used flaps for the reconstruction of various soft tissue defects because it has long vascular pedicle, suitable vessel diameter with acceptable donor site morbidity. Participants and Methods A prospective study was carried out on 25 patients with clinical diagnosis of complex soft tissue defects in distal third leg and foot; Patients were divided into two groups who underwent Fasciocutaneous and Cutaneous ALT, to compare between both groups in many aspects including complication rates, aesthetic and functional outcomes of donor and recipient sites. Results As regard recipient site complications including congestion and partial flap necrosis were higher in group I. There were significant differences between both groups as regard donor site functional outcome including sensory disturbance and cold intolerance were higher in group I. Flap bulkiness was significantly higher in group I. Conclusion In our experience, we found that the ALT free flap offers an excellent option for reconstruction of complex soft tissue defects in the lower extremities with perfect functional and aesthetic results that achieved through elevating Cutaneous ALT flap to avoid sensory disturbance of the donor site and secondary surgical debulking after Fasciocutaneous ALT flap.
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