Secondary Extremity Reconstruction for Contour Deformity: Case Report

The reconstruction of the extremities due to contour deformities is a challenging process. Conventional modalities such as skin grafting have obvious drawbacks. A 18-year-old woman presented with an extensive scar on her right lower leg due to a traffic accident took place 10 years previously. In addition to semi circumferential skin scarring due to former skin grafting, soft-tissue loss was evident. Free tissue transfer of an anterolateral thigh flap was planned for reconstruction. To meet the cosmetic concerns of the patient, special consideration is required during the surgery. An cosmetically pleasing result was obtained within the operation. We consider that lower extremity reconstruction for only cosmetic purposes is a rare entity.

[1]  M. Cifci,et al.  Comparison of free anterolateral thigh flaps and free muscle‐musculocutaneous flaps in soft tissue reconstruction of lower extremity , 2009, Microsurgery.

[2]  R. Bluebond-Langner,et al.  The Versatility of the Anterolateral Thigh Flap , 2009, Plastic and reconstructive surgery.

[3]  T. Scalea,et al.  The anterolateral thigh flap is highly effective for reconstruction of complex lower extremity trauma. , 2007, The Journal of trauma.

[4]  P. Blondeel,et al.  The versatile DIEP flap: its use in lower extremity reconstruction. , 2005, British journal of plastic surgery.

[5]  P. Blondeel,et al.  A Clinical Experience with Perforator Flaps in the Coverage of Extensive Defects of the Upper Extremity , 2004, Plastic and reconstructive surgery.

[6]  S. Yıldırım,et al.  Anterolateral Thigh Flap: Ideal Free Flap Choice for Lower Extremity Soft-Tissue Reconstruction , 2003, Journal of reconstructive microsurgery.

[7]  L. Levin,et al.  Tissue expansion. , 2003, Techniques in hand & upper extremity surgery.

[8]  Hung-Chi Chen,et al.  Have We Found an Ideal Soft‐Tissue Flap? An Experience with 672 Anterolateral Thigh Flaps , 2002, Plastic and reconstructive surgery.

[9]  D. Wilson,et al.  The use of skin grafts in postburn contracture release: a 10-year review. , 1999, Plastic and reconstructive surgery.

[10]  M. Liu,et al.  Applied anatomy of the anterolateral femoral flap. , 1988, Plastic and reconstructive surgery.

[11]  C. Rayner The free thigh flap: A new free flap concept based on the septocutaneous artery , 1987 .

[12]  W. Shaw Aesthetic reconstructions of the leg after trauma. , 1986, Clinics in plastic surgery.

[13]  G. Matton,et al.  Soft tissue defects of the lower extremities. , 1977, Acta chirurgica Belgica.