Reverse-flow anterolateral thigh flap for knee soft-tissue reconstruction: case report

Banegas-Ruíz R.; Gómez-Mendoza Francisco Fabián; Baca-Domínguez Carlos Rubén; Campos-Angulo Gerardo; Luis Jesús Alejo-Fuentes; Luis Fernando Alejo-Fuentes; Porras-Méndez Christian; Valderrama-Treviño AI; Juan Pablo Espinosa-Torres; Germán E. Mendoza-Barrera; Escalera-Moreno Rafael; Yañez-Roa Berenice; Ramírez-Guerrero Mariana; Baltazar Barrera-Mera

doi:10.18203/2320-6012.ijrms20194330

Authors

Banegas-Ruíz R. Department of Traumatology, Rehabilitation Hospital, Luis Guillermo Ibarra Ibarra, CDMX, Mexico
Gómez-Mendoza Francisco Fabián Department of Hand Surgery, Central Military Hospital, CDMX, Mexico
Baca-Domínguez Carlos Rubén Department of Hand Surgery and Microsurgery, Rehabilitation Hospital. Luis Guillermo Ibarra Ibarra, CDMX, Mexico
Campos-Angulo Gerardo Department of Hand Surgery and Microsurgery, Rehabilitation Hospital. Luis Guillermo Ibarra Ibarra, CDMX, Mexico
Luis Jesús Alejo-Fuentes Department of Hand Surgery, Hospital Angeles Centro Médico del Potosí, SLP, Mexico
Luis Fernando Alejo-Fuentes Student, ISSSTE, SLP, Mexico
Porras-Méndez Christian Department of General Surgery, High Specialty Hospital, Veracruz
Valderrama-Treviño AI Laboratory of experimental immunotherapy and tissue engineering, Faculty of Medicine, UNAM, CDMX, Mexico
Juan Pablo Espinosa-Torres Department of Pediatric Plastic and Reconstructive Surgery, HGCMN La Raza, IMSS, CDMX, Mexico
Germán E. Mendoza-Barrera
Escalera-Moreno Rafael Physician, Faculty of Medicine, UNAM, CDMX, Mexico
Yañez-Roa Berenice Physician, Faculty of Medicine, UNAM, CDMX, Mexico
Ramírez-Guerrero Mariana Physician, Faculty of Medicine, UNAM, CDMX, Mexico
Baltazar Barrera-Mera Department of Physiology, Faculty of Medicine, UNAM, CDMX, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20194330

Keywords:

Anterolateral thigh flap, Knee soft-tissue reconstruction, Knee trauma, Patellar fracture, Reverse flow ALT flap, Reconstructive surgery

Abstract

The reconstruction of the injured tissue around the knee is a complex procedure for the plastic and orthopaedic surgeon. The objective is to provide an acceptable function and aesthetic result. Successful wound management includes meticulous debridement, planning and proper execution of the surgical procedure. An 11-year-old male patient with a right patellar fracture using an anterolateral thigh flap with reverse flow to cover the skin defect. For such purposes, the reverse flow anterolateral flap is an effective, trustworthy and well-documented option. The correct obtaining and implantation of the flap reduces the morbidity of the donor site, offers options in size and design, an adequate length of the pedicle and the possible combination with the fascia lata in case it is required. The versatility of the reverse flow anterolateral flap makes it a possible therapeutic alternative in reconstructive surgery since it is aesthetic and functional for the reconstruction of tissue near the knee joint.

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