DISTALLY BASED ANTEROLATERAL THIGH FLAP FOR KNEE DEFECT- A CASE REPORT

Abstract

Defects over the anterior aspect of knee
joint are usually covered by medial gastrocnemius
myocutaneous flap , vastus
medialis muscle flap or free flap. We are
presenting a pedicled distally based Anterolateral
Thigh flap used for covering a
defect over the anterior aspect of the
knee joint. The flap is based on the perforator
from superior lateral genicular artery
anastomosing with the descending
branch of the lateral circumflex femoral
artery. It is harvested from the proximally
based anterolateral thigh flap territory
from the anterior and lateral aspect of the
thigh.In our case, the defect was over the
whole of the anterior aspect of the right
knee joint with fracture but intact patella
and exposing the implants used for patella
fracture fixation. It was a single
stage procedure. Patient had comfortable
postoperative period, flap healed
well and donor site was acceptable.
Pedicled distally based islanded anterolateral
thigh flap is a
reliable ,fasciocutaneous flap for covering
the defect over anterior knee joint region.
Keyword :Distally based Anterolateral
thigh flap, perforator,