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Date Published: 12/06/2021
Abstract Views: 376
Views PDF: 267
DOI: https://doi.org/10.51298/vmj.v500i2.345
Issue
Vol. 500 No. 2 (2021)
Section
Các bài báo
How to Cite
Vũ Hoàng, N. ., & Thiết Sơn, T. . (2021). EVALUATION OF THE USING ANTEROLATERAL THIGH FREE FLAP FOR HAND RECONSTRUCTION. Vietnam Medical Journal, 500(2). https://doi.org/10.51298/vmj.v500i2.345

EVALUATION OF THE USING ANTEROLATERAL THIGH FREE FLAP FOR HAND RECONSTRUCTION

Nguyễn Vũ Hoàng, Trần Thiết Sơn

Main Article Content

Abstract

Objectives: The aim of this study was to evaluate the results of free anterolateral thigh (ALT) flap  reconstruction for soft tissue defects of hand. Patients and methods: 47 ALT flaps have been raised in 45 patients with soft tissue defects of the hand after trauma, burn, or severe scar contracture release....These patients underwent surgery  at the Department of plastic and reconstructive surgery, SaintPaul hospital (Ha Noi, Viet Nam), between July 2007 to June 2020. Results: 40 flaps were complete survival, 3flaps have marginal necrosis, 2 flaps have partial distal necrosis, 2 flaps have partial necrosis. There were 6 fasciocutaneous and 41 cutaneous flaps, 38 flaps were thinned and 26 flaps were thinned by microdissection; 12 chimeric flaps. The reconstruction ensured good results both in funtional and aesthetical aspects. Conclusions: Free Anterolateral thigh perforator  flap is a reliable material for the reconstruction of defects in the hand. The flap provides a thin, pliable, vascularized tissue for covering the exposed tendons, nerves, bones, and reconstruct deficiencies.

Article Details

Keywords

anterolateral thigh flap, soft tissue defect, hand surgery

References

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