DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20194330

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

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.


Keywords


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

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References


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