Core Procedures Anterolateral thigh (ALT) flap Gracilis flap Surgical surface anatomy An imaginary line connecting the anterior superior iliac spine to the pubic tubercle marks the proximal border of the anterior thigh. The inguinal ligament travels between these two bony…
Introduction Reconstructive surgery has, as its premise, the principle of restoring form and function utilizing surrounding or distant tissues while minimizing morbidity at the donor site. While muscle flaps remain a viable option for reconstructive surgery, their use has become…
Figure 59.1 (Left) Anterolateral thigh flap; (Right) Anteromedial thigh flap. Open full size image Introduction In 1984, Song and colleagues introduced the anterolateral thigh flap based on septocutaneous branches of the descending branch of the lateral circumflex femoral artery. Since…
Figure 52.1 Fibula flap. Open full size image Introduction With an outstanding length available for harvest, a solid and sizable bone stock, a reliable blood supply, an allowance for manipulation of the components of the flap while maintaining adequate blood…
Figure 43.1 Groin flap and superficial circumflex iliac artery perforator flap. Open full size image Introduction The groin flap, nourished by the superficial circumflex iliac artery (SCIA), is historically important because it was the first successful free flap. With its…
Introduction In 1904, Wiilstein, in Germany, reported the first case of a jejunal flap. He used the jejunum as a pedicled flap to reconstruct the thoracic esophagus. In 1907, Roux, in France, described a successful staged reconstruction of the esophagus…
Core Procedures Anterolateral thigh (ALT) flap Gracilis flap Surgical surface anatomy An imaginary line connecting the anterior superior iliac spine to the pubic tubercle marks the proximal border of the anterior thigh. The inguinal ligament travels between these two bony…