The island pedicled anterolateral thigh (pALT) flap via the lateral subcutaneous tunnel for recurrent ischial ulcers E.H.J. Kua, C.H. Wong, S.W. Ng,

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Presentation transcript:

The island pedicled anterolateral thigh (pALT) flap via the lateral subcutaneous tunnel for recurrent ischial ulcers E.H.J. Kua, C.H. Wong, S.W. Ng, K.C. Tan Journal of Plastic, Reconstructive & Aesthetic Surgery Volume 64, Issue 1, Pages e21-e23 (January 2011) DOI: 10.1016/j.bjps.2010.07.021 Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions

Figure 1 Suture dehiscence of medial tip of buttock rotation flap directly over previous recurrent ischial ulcer site. Journal of Plastic, Reconstructive & Aesthetic Surgery 2011 64, e21-e23DOI: (10.1016/j.bjps.2010.07.021) Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions

Figure 2 Island pedicled ALT fasciocutaneous flap elevated. Journal of Plastic, Reconstructive & Aesthetic Surgery 2011 64, e21-e23DOI: (10.1016/j.bjps.2010.07.021) Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions

Figure 3 A cuff of vastus lateralis muscle was excised to extend the reach and prevent kinking of the pedicle. Journal of Plastic, Reconstructive & Aesthetic Surgery 2011 64, e21-e23DOI: (10.1016/j.bjps.2010.07.021) Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions

Figure 4 Flap inset and wound closure. Journal of Plastic, Reconstructive & Aesthetic Surgery 2011 64, e21-e23DOI: (10.1016/j.bjps.2010.07.021) Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions

Figure 5 Long-term outcome (13 months post-operation). Journal of Plastic, Reconstructive & Aesthetic Surgery 2011 64, e21-e23DOI: (10.1016/j.bjps.2010.07.021) Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions