Introduction: The Anterior Lateral thigh flap (ALT) free flap can be considered one of the reconstructive tools in lower leg and foot reconstruction. It has a long and reliable pedicle, and dissection is comparatively easy, which makes it extremely suitable as a free flap. This study aimed to evaluate the versatility of the flap in covering lower leg and foot defects. Methods: This was a prospective observational study conducted in the Department of Plastic Surgery, Rangpur Medical College Hospital, Rangpur, Bangladesh, from January 2023 to December 2023. In our study, we included 16 patients with defects in the lower leg and foot who received an ALT-free flap as a reconstructive treatment. We analyzed the preoperative, intraoperative, and postoperative variables of our respondents. Results: In this study, 16 patients (12 males and 4 females) with an average of 34.25 years old were included. Among them 13 were traumatic cases, 2 electrical burn wounds, and one oncologic case. Survival rates of the free flap were 87.5% (14) with two failure cases. There were no complications at the donor site. In this study, 75% (12) cases showed excellent outcomes where there were no signs, or symptoms of venous congestion or arterial insufficiency, no infection or dehiscence, and the donor site was primarily closed with good flap adhesion. Conclusion: This study shows that the ALT-free flap is a versatile flap that allows it to cover the defect successfully and ALT adaptation was satisfactory in terms of varied location and size.
| Published in | American Journal of Health Research (Volume 12, Issue 6) |
| DOI | 10.11648/j.ajhr.20241206.17 |
| Page(s) | 230-236 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Anterolateral Thigh Flap, Split Thickness Skin Graft, Versatility, Foot Reconstruction
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APA Style
Hamid, M. A., Sultana, S. N., Mukit, S. M. A., Biswas, G. (2024). The Anterolateral Thigh Flap for Lower Leg & Foot Reconstruction in a Tertiary Hospital in Northern Bangladesh: Our Observation and Outcome. American Journal of Health Research, 12(6), 230-236. https://doi.org/10.11648/j.ajhr.20241206.17
ACS Style
Hamid, M. A.; Sultana, S. N.; Mukit, S. M. A.; Biswas, G. The Anterolateral Thigh Flap for Lower Leg & Foot Reconstruction in a Tertiary Hospital in Northern Bangladesh: Our Observation and Outcome. Am. J. Health Res. 2024, 12(6), 230-236. doi: 10.11648/j.ajhr.20241206.17
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Download@article{10.11648/j.ajhr.20241206.17,
author = {M. A. Hamid and Sayeda Niger Sultana and Shah Md. Al Mukit and Goutam Biswas},
title = {The Anterolateral Thigh Flap for Lower Leg & Foot Reconstruction in a Tertiary Hospital in Northern Bangladesh: Our Observation and Outcome
},
journal = {American Journal of Health Research},
volume = {12},
number = {6},
pages = {230-236},
doi = {10.11648/j.ajhr.20241206.17},
url = {https://doi.org/10.11648/j.ajhr.20241206.17},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20241206.17},
abstract = {Introduction: The Anterior Lateral thigh flap (ALT) free flap can be considered one of the reconstructive tools in lower leg and foot reconstruction. It has a long and reliable pedicle, and dissection is comparatively easy, which makes it extremely suitable as a free flap. This study aimed to evaluate the versatility of the flap in covering lower leg and foot defects. Methods: This was a prospective observational study conducted in the Department of Plastic Surgery, Rangpur Medical College Hospital, Rangpur, Bangladesh, from January 2023 to December 2023. In our study, we included 16 patients with defects in the lower leg and foot who received an ALT-free flap as a reconstructive treatment. We analyzed the preoperative, intraoperative, and postoperative variables of our respondents. Results: In this study, 16 patients (12 males and 4 females) with an average of 34.25 years old were included. Among them 13 were traumatic cases, 2 electrical burn wounds, and one oncologic case. Survival rates of the free flap were 87.5% (14) with two failure cases. There were no complications at the donor site. In this study, 75% (12) cases showed excellent outcomes where there were no signs, or symptoms of venous congestion or arterial insufficiency, no infection or dehiscence, and the donor site was primarily closed with good flap adhesion. Conclusion: This study shows that the ALT-free flap is a versatile flap that allows it to cover the defect successfully and ALT adaptation was satisfactory in terms of varied location and size.
},
year = {2024}
}
TY - JOUR T1 - The Anterolateral Thigh Flap for Lower Leg & Foot Reconstruction in a Tertiary Hospital in Northern Bangladesh: Our Observation and Outcome AU - M. A. Hamid AU - Sayeda Niger Sultana AU - Shah Md. Al Mukit AU - Goutam Biswas Y1 - 2024/11/29 PY - 2024 N1 - https://doi.org/10.11648/j.ajhr.20241206.17 DO - 10.11648/j.ajhr.20241206.17 T2 - American Journal of Health Research JF - American Journal of Health Research JO - American Journal of Health Research SP - 230 EP - 236 PB - Science Publishing Group SN - 2330-8796 UR - https://doi.org/10.11648/j.ajhr.20241206.17 AB - Introduction: The Anterior Lateral thigh flap (ALT) free flap can be considered one of the reconstructive tools in lower leg and foot reconstruction. It has a long and reliable pedicle, and dissection is comparatively easy, which makes it extremely suitable as a free flap. This study aimed to evaluate the versatility of the flap in covering lower leg and foot defects. Methods: This was a prospective observational study conducted in the Department of Plastic Surgery, Rangpur Medical College Hospital, Rangpur, Bangladesh, from January 2023 to December 2023. In our study, we included 16 patients with defects in the lower leg and foot who received an ALT-free flap as a reconstructive treatment. We analyzed the preoperative, intraoperative, and postoperative variables of our respondents. Results: In this study, 16 patients (12 males and 4 females) with an average of 34.25 years old were included. Among them 13 were traumatic cases, 2 electrical burn wounds, and one oncologic case. Survival rates of the free flap were 87.5% (14) with two failure cases. There were no complications at the donor site. In this study, 75% (12) cases showed excellent outcomes where there were no signs, or symptoms of venous congestion or arterial insufficiency, no infection or dehiscence, and the donor site was primarily closed with good flap adhesion. Conclusion: This study shows that the ALT-free flap is a versatile flap that allows it to cover the defect successfully and ALT adaptation was satisfactory in terms of varied location and size. VL - 12 IS - 6 ER -
Department of Plastic Surgery, Rangpur Medical College Hospital, Rangpur, Bangladesh
Department of Gynaecology and Obstetrics, Prime Medical College Hospital, Rangpur, Bangladesh
Department of Plastic Surgery, Rangpur Medical College Hospital, Rangpur, Bangladesh
Department of Anaesthesia, Rangpur Medical College Hospital, Rangpur, Bangladesh
