Sensory Recovery of Foot and Ankle Reconstruction with Neurotized ALT Flaps: A Systematic Review.
Publication/Presentation Date
5-1-2026
Abstract
BACKGROUND: The anterolateral thigh flap (ALT) is a reliable soft tissue reconstruction option, especially for lower extremity defects. Recent advancements in flap innervation methods show promise in promoting sensory recovery, yet the current literature lacks a comprehensive summary of its outcomes.
METHODS: A systematic review of PubMed, Embase, Web of Science, and Scopus was performed by identifying all studies examining sensory recovery outcomes in lower extremity reconstruction using innervated ALT flaps.
RESULTS: Of 793 unique articles, eight studies (
CONCLUSION: Lower extremity reconstruction with innervated ALT flaps predominantly involves the foot and ankle region (98.5%), as the improved sensory recovery may be helpful in reducing secondary injury risk, such as diabetic foot ulcers. No cases involving reconstruction of soft tissue defects above the knee were identified.
ISSN
1098-8947
Published In/Presented At
Chen, A. J., Snee, I. A., Nguyen, J. D., Khong, J., Laning, E. K., Park, K. E., Mundy, L. R., Dingle, A. M., & Poore, S. O. (2026). Sensory Recovery of Foot and Ankle Reconstruction with Neurotized ALT Flaps: A Systematic Review. Journal of reconstructive microsurgery, 10.1055/a-2858-3815. Advance online publication. https://doi.org/10.1055/a-2858-3815
Disciplines
Medicine and Health Sciences
PubMedID
42066790
Department(s)
Medical Education
Document Type
Article