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Published byPaula Neal Modified over 5 years ago
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The antero-lateral thigh (ALT) flap: a pragmatic approach
Andrew Burd, Peter Pang British Journal of Plastic Surgery Volume 56, Issue 8, Pages (December 2003) DOI: /j.bjps
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Fig. 1 (A) Multiple cutaneous perforators marked on the leg after an extensive investigation by the radiologist using the Duplex scanner. (B) The type of perforator difficult to detect. Four musculo-cutaneous vessels all with diameter <0.5 mm in an eight-year-old child. British Journal of Plastic Surgery , DOI: ( /j.bjps )
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Fig. 2 (A) Two perforators marked in an adult after 5 min with the hand held Doppler. (B) The ‘open-caste’ technique with one short perforator. (C) The tunnelling technique. The flap is on the lower aspect of the dissection with traction being applied to the musculo-cutaneous perforator by the vascular sling. The perforator is travelling diagonally into a long intra-muscular tunnel and small deep muscular branches are now being identified and ligated. British Journal of Plastic Surgery , DOI: ( /j.bjps )
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