The vascular pedicle of the anterolateral thigh flap as an alternative recipient site for thigh free flaps.
The indications for a free flap for thigh defects are relatively uncommon. Regardless, a reasonable recipient site will always be of paramount importance. The major femoral vessels, usually accessed via the medial thigh, would be a conventional selection. If these are at risk within the zone of injury, or if the defect is more lateral, the descending branch of the lateral circumflex femoral vessels might be a more suitable alternative. The surgical approach is virtually identical to that used to raise the familiar anterolateral thigh flap, where in a similar fashion a long pedicle of large caliber can be obtained to simplify end-to-end microanastomoses. This has proven to be an invaluable resource as demonstrated in two clinical cases.
Published In/Presented At
Hallock G. G. (2008). The vascular pedicle of the anterolateral thigh flap as an alternative recipient site for thigh free flaps. Journal of reconstructive microsurgery, 24(2), 131–136. https://doi.org/10.1055/s-2008-1076083
Medicine and Health Sciences
Department of Surgery