✦ LIBER ✦

Free anteromedial thigh flap: Clinical application and review of literature

✍ Scribed by Thomas Schoeller; Georg M. Huemer; Maziar Shafighi; Raffi Gurunluoglu; Gottfried Wechselberger; Hildegunde Piza-Katzer

Publisher: John Wiley and Sons
Year: 2004
Tongue: English
Weight: 236 KB
Volume: 24
Category: Article
ISSN: 0738-1085
DOI: 10.1002/micr.10194

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

The anteromedial thigh (AMT) flap is reviewed in terms of its vascular anatomy and previous clinical reports in the literature. Our own series of 5 patients treated with this flap for defects in the head and neck region and lower extremity is presented. Although several authors controversially discussed vasculature, we constantly found the pedicle as an emerging septocutaneous perforator at a point where the medial border of the rectus femoris muscle is crossed by the sartorius muscle. In all 5 patients, the AMT flap provided stable coverage with no flap loss. Based on our findings, we conclude that the anteromedial thigh flap offers all the advantages of fasciocutaneous flaps. Therefore, we recommend this flap as an alternative for defects requiring coverages of thin to moderate skin thickness. However, it should be remembered that variations in vascular anatomy are possible. © 2003 Wiley‐Liss, Inc.

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