Anterolateral thigh mega flap for upper limb reconstruction: a case report

Ricardo F. Riera; Juan A. U. Vitelly; Arsenio F. A. Azcue; Mauricio D. Cacique

doi:10.18203/2320-6012.ijrms20240547

Authors

Ricardo F. Riera Department of Plastic and Reconstructive Surgery, Hospital General de México Dr. Eduardo Liceága, Mexico City, Mexico
Juan A. U. Vitelly Department of Plastic and Reconstructive Surgery, Hospital General de México Dr. Eduardo Liceága, Mexico City, Mexico
Arsenio F. A. Azcue Department of Plastic and Reconstructive Surgery, Hospital General de México Dr. Eduardo Liceága, Mexico City, Mexico
Mauricio D. Cacique Department of General Surgery, General Hospital of Querétaro, Mexico City, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20240547

Keywords:

Anterolateral thigh megaflap, Free flap, Microsurgical flap

Abstract

The innovative concept of employing "Megaflaps", large free flaps, in particular the anterolateral thigh megaflap, for the reconstruction of large surface defects remains relatively unexplored. Although the theoretical value of "megaflaps" is recognized, their documentation remains limited. Microsurgical free flaps are essential for treating musculotendinous, osseous, and vasculonervous injuries. The appeal of these flaps lies in their minimal donor site morbidity, which offers an alternative approach. Taking advantage of the intricate anatomy of the lateral femoral circumflex artery and its branches facilitates the creation of large surface area flaps.

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