Pedicled Anterolateral Thigh Flap Reconstruction for Defects Between Umbilicus and Knee

Abstract

ABSTRACT OBJECTIVES: This study evaluated the efficacy and outcomes of pedicled anterolateral thigh flap reconstruction in addressing soft tissue defects between the umbilicus and the knee. MATERIALS AND METHODS: We evaluated 12 patients (8 males, 4 females; mean age of 56 years; range, 15-74 years) who underwent pedicled anterolateral thigh flap reconstruction between 2019 and 2022. Defect locations included the inguinal region, trochanteric region, medial thigh, posterior thigh, lateral knee, and umbilical region. RESULTS: The average operative time was 2.7 hours (range, 2-4 hours). All donor sites were closed primarily, with no major complications. Mean hospital stay was 7 days (range, 4-18 days). CONCLUSIONS: The pedicled anterolateral thigh flap is a versatile and reliable solution for defects in the lower abdomen and lower extremities, offering excellent outcomes with minimal donor site morbidity.