Abstract：
UNASSIGNED: Coverage of soft tissue defects following surgery at the trochanteric area is challenging. Revision surgery in case of compromised wound healing may lead to soft tissue defects requiring reconstruction with pedicled or free flaps. Previous access to the hip joint may jeopardize neurovascular structures relevant to the flap.
UNASSIGNED: In this study, we evaluated if the use of a pedicled anterior lateral thigh (ALT) flap is a valuable option for soft tissue reconstruction.
UNASSIGNED: In this retrospective study, seven patients were included. Defect etiology was tumor resection in one case, screw osteosynthesis in another case and total hip arthroplasty in three cases. All patients underwent reconstruction by proximal pedicled anterior lateral thigh (ALT) flap.
UNASSIGNED: Pedicled ALT flap was a safe procedure in all cases. One patient showed delayed wound healing with need for additional surgery. No further complications were observed.
UNASSIGNED: Pedicled ALT flap transfer represents a reliable option for soft tissue coverage in the trochanteric area after primary surgery such as hip arthroplasty, osteosynthesis or tumor resection.
UNASSIGNED: In this study, we evaluated if the use of a pedicled anterior lateral thigh (ALT) flap is a valuable option for soft tissue reconstruction.
UNASSIGNED: In this retrospective study, seven patients were included. Defect etiology was tumor resection in one case, screw osteosynthesis in another case and total hip arthroplasty in three cases. All patients underwent reconstruction by proximal pedicled anterior lateral thigh (ALT) flap.
UNASSIGNED: Pedicled ALT flap was a safe procedure in all cases. One patient showed delayed wound healing with need for additional surgery. No further complications were observed.
UNASSIGNED: Pedicled ALT flap transfer represents a reliable option for soft tissue coverage in the trochanteric area after primary surgery such as hip arthroplasty, osteosynthesis or tumor resection.
摘要：
■股骨转子区手术后软组织缺损的覆盖具有挑战性。在伤口愈合受损的情况下进行修复手术可能导致软组织缺损，需要使用带蒂或游离皮瓣进行重建。先前进入髋关节可能会危害与皮瓣相关的神经血管结构。
■在这项研究中，我们评估了使用带蒂大腿前外侧（ALT）皮瓣是否是软组织重建的有价值的选择。
■在这项回顾性研究中，包括7名患者。缺损病因为肿瘤切除1例，另一例为螺钉接骨术，三例为全髋关节置换术。所有患者均行近端带蒂股前外侧（ALT）皮瓣重建。
■带蒂ALT皮瓣在所有情况下都是安全的手术。一名患者显示伤口愈合延迟，需要额外的手术。没有观察到进一步的并发症。
■带蒂ALT皮瓣转移是髋关节置换术等初次手术后股骨转子区软组织覆盖的可靠选择，接骨术或肿瘤切除术。
■在这项研究中，我们评估了使用带蒂大腿前外侧（ALT）皮瓣是否是软组织重建的有价值的选择。
■在这项回顾性研究中，包括7名患者。缺损病因为肿瘤切除1例，另一例为螺钉接骨术，三例为全髋关节置换术。所有患者均行近端带蒂股前外侧（ALT）皮瓣重建。
■带蒂ALT皮瓣在所有情况下都是安全的手术。一名患者显示伤口愈合延迟，需要额外的手术。没有观察到进一步的并发症。
■带蒂ALT皮瓣转移是髋关节置换术等初次手术后股骨转子区软组织覆盖的可靠选择，接骨术或肿瘤切除术。
