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KMID : 1143020220270040354
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Archives of Hand and Microsurgery
2022 Volume.27 No. 4 p.354 ~ p.358
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Functional reconstruction of total defects of the dorsiflexor muscles with a chimeric anterolateral thigh free flap: a case report
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Kim Yang-Woo
Moon Bo-Min
Kim Sun-Eung
Mun Hye-Gwang
Pae Woo-Sik
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Abstract
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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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KEYWORD
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Free tissue flaps, Lower extremity, Reconstructive surgical procedures, Recovery of function
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