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Archives of Orthopaedic and Trauma Surgery

Published in:

01-11-2013 | Trauma Surgery

The composite anterolateral thigh flap for knee extensor and skin reconstruction

Authors: Seung Han Song, Sangmun Choi, Young-Mo Kim, Seung Ryul Lee, Young Woong Choi, Sang-Ha Oh

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 11/2013

Abstract

The simultaneous reconstruction of a skin defect and lost extensor mechanism of the knee joint is difficult. We present a 31-year-old male who lost the patella and had a 9 × 10 cm skin defect after a total patellectomy for an infected open patellar fracture. A composite anterolateral thigh (ALT) flap including vascularized skin and fascia lata (FL) was elevated. The FL was folded and sutured to the remaining patellar tendon. The skin flap covered the skin defect. The wound healed uneventfully. Thirty months later, the active range of motion of the knee joint was 0°–120° and the extension strength of the knee joint was normal. He could stand on his right leg and walk without assistance. The composite ALT flap is a valuable option in knee reconstruction after a total patellectomy.

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Title: The composite anterolateral thigh flap for knee extensor and skin reconstruction
Authors: Seung Han Song
Sangmun Choi
Young-Mo Kim
Seung Ryul Lee
Young Woong Choi
Sang-Ha Oh
Publication date: 01-11-2013
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 11/2013
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-013-1833-3

At a glance: The STEP trials

Springer Medicine

The composite anterolateral thigh flap for knee extensor and skin reconstruction

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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