6efeac731eb6dd90642fd2d806543d78 ebj-06-00034.pdf c1ae3e20614be0090b365bad0d64fd566b6e1b0b ebj-06-00034.pdf f546c965bb8ef5eaf4af778008e3e9cc4ea18ac9a44d8913ba1e7d4938487067 ebj-06-00034.pdf Title: Anterolateral Thigh Flap for Acute/Primary Burn Reconstruction Subject: Introduction: The indication for a free flap in acute burn reconstruction is very specific. It should avoid several complications that are more common in the burned patient population. We propose an anterolateral thigh (ALT) flap as a first option for primary burn reconstruction in microvascular free flap reconstruction in burned patients. Patients and Methods: A retrospective review of all acutely burned patients treated with microvascular ALT free flap reconstruction between the years 2005 and 2022 in the Vall d’Hebron Barcelona Hospital Campus Burn Centre was conducted. Results: We performed 30 ALT flaps for primary burn reconstruction. The majority of patients were male (87.5%), with a mean age of 36.7 years, and 37% of patients were smokers. High-voltage electrical burns were the most common etiology. The mean time between burn injury and microsurgery was 22 days. The main recipient site was the lower limb. The flap survival rate was 96.6%. One patient required a meshed skin graft to cover a defect in the proximal third due to peripheral flap necrosis. One flap experienced mild congestion, which resolved spontaneously. Another flap had a local infection, which resolved with antibiotic therapy and surgical debridement. Conclusions: An ALT flap offers several advantages to a burned patient, provided that the surgical technique and postoperative management described in this study are followed. We propose it as the first option for primary burn reconstruction using free flaps in a burned patient. Keywords: burns; burn reconstruction; microsurgery; free flap; ALT flap; flap safety Author: Eva Verdaguer, Antonio Bulla, Jordi Serracanta, Danilo Rivas and Juan P. Barret Creator: LaTeX with hyperref Producer: pdfTeX-1.40.25 CreationDate: Tue Jun 10 08:44:03 2025 CEST ModDate: Tue Jun 10 08:48:43 2025 CEST Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 9 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 886751 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- ACYBRB+VnURWPalladioL Type 1 Custom yes yes yes 10 0 RKSASB+URWPalladioL-Roma Type 1 Custom yes yes yes 16 0 AOKOYS+URWPalladioL-Bold Type 1 Custom yes yes yes 22 0 WPRGWL+URWPalladioL-Ital Type 1 Custom yes yes yes 27 0 BCDEEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 67 0 BCDFEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 71 0 BCDGEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 75 0 BCDIEE+PalatinoLinotype-Bold CID TrueType Identity-H yes yes yes 79 0 BCDJEE+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 86 0 BCDEEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 100 0 BCDFEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 104 0 BCDGEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 108 0 BCDIEE+PalatinoLinotype-Bold CID TrueType Identity-H yes yes yes 112 0 BCDJEE+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 119 0 PDTLUH+CMSY10 Type 1 Builtin yes yes yes 133 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-07-06 02:08:29 CEST RepresentationInformation: ebj-06-00034.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2025-07-05 21:00:06 CEST Size: 886751 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 237 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Patients and Methods Destination: section.2 Children: Item: Title: Surgical Technique Destination: subsection.2.1 Item: Title: Postoperative Management Destination: subsection.2.2 Item: Title: Results Destination: section.3 Item: Title: Discussion Destination: section.4 Item: Title: Conclusions Destination: section.5 Item: Title: References Destination: section.6 Info: Title: Anterolateral Thigh Flap for Acute/Primary Burn Reconstruction Author: Eva Verdaguer, Antonio Bulla, Jordi Serracanta, Danilo Rivas and Juan P. Barret Subject: Introduction: The indication for a free flap in acute burn reconstruction is very specific. It should avoid several complications that are more common in the burned patient population. We propose an anterolateral thigh (ALT) flap as a first option for primary burn reconstruction in microvascular free flap reconstruction in burned patients. Patients and Methods: A retrospective review of all acutely burned patients treated with microvascular ALT free flap reconstruction between the years 2005 and 2022 in the Vall d’Hebron Barcelona Hospital Campus Burn Centre was conducted. Results: We performed 30 ALT flaps for primary burn reconstruction. The majority of patients were male (87.5%), with a mean age of 36.7 years, and 37% of patients were smokers. High-voltage electrical burns were the most common etiology. The mean time between burn injury and microsurgery was 22 days. The main recipient site was the lower limb. The flap survival rate was 96.6%. One patient required a meshed skin graft to cover a defect in the proximal third due to peripheral flap necrosis. One flap experienced mild congestion, which resolved spontaneously. Another flap had a local infection, which resolved with antibiotic therapy and surgical debridement. Conclusions: An ALT flap offers several advantages to a burned patient, provided that the surgical technique and postoperative management described in this study are followed. We propose it as the first option for primary burn reconstruction using free flaps in a burned patient. 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