Anterolateral Thigh Flap for Acute/Primary Burn Reconstruction
Verdaguer, Eva (Hospital Universitari Vall d'Hebron)
Bulla, Antonio (Hospital Universitari Vall d'Hebron)
Serracanta Domènech, Jordi (Hospital Universitari Vall d'Hebron)
Rivas-Nicolls, Danilo (Hospital Universitari Vall d'Hebron)
Barret Nerín, Juan Pedro (Universitat Autònoma de Barcelona. Departament de Cirurgia)

Date:	2025
Description:	9 pàg.
Abstract:	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.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Burns ; Burn reconstruction ; Microsurgery ; Free flap ; ALT flap ; Flap safety
Published in:	European burn journal, Vol. 6 Núm. 2 (June 2025) , p. 34, ISSN 2673-1991

DOI: 10.3390/ebj6020034
PMID: 40558629

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