Functional reconstruction of total defects of the dorsiflexor muscles with a chimeric anterolateral thigh free flap: a case reportopen access
- Authors
- Kim, Yang Woo; Moon, Bo Min; Kim, Sun Eung; Mun, Hye Gwang; Pae, Woo Sik
- Issue Date
- Dec-2022
- Publisher
- 대한수부외과학회
- Keywords
- Free tissue flaps; Lower extremity; Reconstructive surgical procedures; Recovery of function
- Citation
- Archives of Hand and Microsurgery, v.27, no.4, pp.354 - 358
- Journal Title
- Archives of Hand and Microsurgery
- Volume
- 27
- Number
- 4
- Start Page
- 354
- End Page
- 358
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/86187
- DOI
- 10.12790/ahm.22.0040
- ISSN
- 2586-3290
- Abstract
- Although several studies exist on the simple volume filling of soft tissue defects in lower extremity reconstruction, few reports have described functional reconstruction. In this study, a 52-year-old male patient, after a forklift accident, developed soft tissue defects of the all the right dorsiflexors. The patient underwent surgery with a chimeric anterolateral thigh free flap (cALT-FF), in which 18×8 cm2 fasciocutaneous flaps were harvested, including a 6×9 cm2 vastus lateralis muscle flap in a chimeric pattern. The functionality of the lower extremities was evaluated in terms of the active ankle-dorsiflexion range of motion and the Stanmore system after 15 months, and the result was good. In this study, we focused on functional reconstruction following the use of cALT-FF in a patient with defects of all the dorsiflexor muscles, which play an important functional role in gait.
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