Maximizing the Utility of the Pedicled Anterolateral Thigh Flap for Locoregional Reconstruction: Technical Pearls and Pitfalls

Aparna Vijayasekaran, Waleed Gibreel, Brian T. Carlsen, Steven L. Moran, Michel Saint-Cyr, Karim Bakri, Basel Sharaf

Research output: Contribution to journalReview articlepeer-review

Abstract

The pedicled anterolateral thigh (PALT) flap is an underutilized flap for locoregional reconstruction largely because methods to maximize its reach are neither universally implemented nor fully understood. In addition, most of the available literature has focused on the utility of the free anterolateral thigh flap with less emphasis on the PALT flap. Moreover, flap design concepts to maximize its utility and reach and optimize outcomes have not been comprehensively described. In an effort to address this knowledge gap, the authors sought to review their institution's experience with the PALT flap for locoregional reconstruction.

Original languageEnglish (US)
Pages (from-to)621-634
Number of pages14
JournalClinics in Plastic Surgery
Volume47
Issue number4
DOIs
StatePublished - Oct 2020

Keywords

  • ALT flap technique
  • Abdominal reconstruction
  • Anterolateral thigh flap (ALT)
  • Pedicled perforator flap
  • Perineal reconstruction
  • Trochanteric reconstruction

ASJC Scopus subject areas

  • Surgery

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