PMC5794355_01
(A) A 36-year-old man with adduction contracture of the thumb because of a burn injury. (B) Releasing the contracture. (C-E) A microdissected thin anterolateral thigh (MTALT) perforator flap measuring 24 x 5 cm with 3 perforators is harvested and transferred to the defect. (F and G) Postoperative appearance. (H and I) Appearance 1 month postoperatively. MTALT = microdissected thin anterolateral thigh.
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F1
A 24 x 5 cm MTALT flap with 3 perforators was transferred to the web space after scar contracture release with the vessels anastomosed to the radial artery and its accompanying vein (Fig. 1).
PMC5794355_02
(A) A 28-year-old woman suffered skin and soft tissue defects because of a crushing injury by a machine at work. (B) Flap design with multiple perforators on the left thigh. (C-E) Completion of elevation and microdissection of MTALT perforator flap with 2 perforators. (F) Postoperative appearance. (G and H) Appearance 5 months postoperatively. MTALT = microdissected thin anterolateral thigh.
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F2
The flap survived completely and the elbow's motion and appearance recovered well (Fig. 2).
PMC5794355_03
(A) A 24-year-old man experienced skin loss over his Achilles tendon. (B) Flap design with 2 perforators on the left thigh. (C and D) Completion of elevation and microdissection of MTALT perforator flap with 2 perforators. (E) Postoperative appearance. (F) Appearance 3 months postoperatively. MTALT = microdissected thin anterolateral thigh.
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F3
The perforator flap survived completely, and the bulkiness of the flap required no additional secondary procedures 3 months postoperatively (Fig. 3).