Anterolateral thigh flap: an ideal soft tissue flap

摘要: Microsurgical reconstruction has evolved to a stage where nearly 100% success rate been achieved. Therefore, refinement of the functional and aesthetic result, as well decrease in donor site morbidity have become major concerns. The anterolateral thigh flap meets these requirements; its wide application various fields is based on following charateristics. Its reliable vascularity. vascular pedicle long large, at least 8 cm (can be 20 cm). Flap territory large easy design. can periphery flap. length 40 width half thigh, with maximal dimension x (800 cm2). Primary trimming 3 mm 5 thickness does not compromise subcutaneous fat included facilitate gliding underlying tendons. To harvest chimeric flaps, components included: muscles, fascia bone (an osseous joined microvascular anastomoses). A two-team approach possible, because recipient usually far away from site. Usually it require that patient change position. It closed primarily without skin graft if less than cm. easily covered clothes, motor function affected. Care should taken dissection, inset, postoperative care, strategies for re-exploration.