Lee Johnson C, St-Hilaire Hugo, Christy Michael R, Wise M Whitten, Rodriguez Eduardo D
Division of Plastic, Reconstructive and Maxillofacial Surgery, R Adams Cowley Shock Trauma Center, 22 South Greene Street, Baltimore, MD 21201, USA.
Ann Plast Surg. 2010 Feb;64(2):164-8. doi: 10.1097/SAP.0b013e3181a20ab0.
High velocity injuries have traditionally been covered with free muscle flaps. We sought to evaluate the utility of the anterolateral thigh flap (ALT) flap as a primary choice in reconstructing traumatic injuries in Western patients.A retrospective chart review was conducted of 122 patients treated at the R Adams Cowley Shock Trauma Center and at the Louisiana State University Trauma Center. Data collected included defect size, donor site location, flap composition and size, number of anastamoses, number of perforators, donor site closure, and complications.A total of 127 ALT flap reconstructions were performed. About 74% involved the lower extremity, 12% head and neck, 11% upper extremity, 2% abdomen, <1% chest, and <1% pelvis. The success rate was 96% with 3 total flap failures and 2 partial flap failures. Average follow-up was 9.3 months.The results of this review confirm that the ALT flap is a reliable, versatile tool for managing composite traumatic injuries.
传统上，高速损伤一直采用游离肌皮瓣覆盖。我们试图评估股前外侧皮瓣（ALT）作为西方患者创伤性损伤重建首选皮瓣的实用性。对在R·亚当斯·考利休克创伤中心和路易斯安那州立大学创伤中心接受治疗的122例患者进行了回顾性图表审查。收集的数据包括缺损大小、供区位置、皮瓣组成和大小、吻合数量、穿支数量、供区闭合情况及并发症。共进行了127例ALT皮瓣重建。约74%涉及下肢，12%涉及头颈部，11%涉及上肢，2%涉及腹部，<1%涉及胸部，<1%涉及骨盆。成功率为96%，共3例皮瓣完全失败，2例部分失败。平均随访时间为9.3个月。本综述结果证实，ALT皮瓣是处理复合性创伤性损伤的可靠且多功能的工具。
