Reconstruction of complex soft tissue defects including tendons with anterolateral thigh flap extended to fascia lata: Long term recovery and functional outcomes.

摘要: BACKGROUND We evaluated composite anterolateral thigh (ALT) flaps including vascularized fascia lata (FL), for stable soft tissue coverage and tendons restoration at various joint levels in a one-stage procedure. METHODS performed retrospective investigation 21 "functional" ALT between November 2006 December 2016. In all patients included, FL was shaped to anatomical reproduce tendon structure. Functional analysis included range of motion force assessment. scores were established according Chen classification, DASH, LEFS score. Defects resulted from tumor excision, trauma, burn, or infection-debridement distributed four main districts: knee (seven cases), ankle (six forearm-elbow (four hand-wrist level (three cases). RESULTS Nineteen raised as free flaps, while two distally-based propeller flaps. Average follow-up 38 months. Major complication requiring the harvest second flap seen patients, whereas three presented superficial necrosis treated an outpatient regimen. observed 81% total ROM recovery compared contralateral sides with 89% recovered articular stability. Best articulation outcomes present elbow reconstruction, reconstructions showed less articularity. Hospital stay significantly reduced hand wrist functional reconstruction when (P < 0.05). CONCLUSION The extended provides particularly effective resistant that can be folded reconstruct support tendinous structures. This restore structural integrity after complex defects single stage