J Reconstr Microsurg Open 2016; 01(01): 036-038
DOI: 10.1055/s-0036-1571846
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Reconstruction of a Below-the-Knee Amputation Stump in the Setting of Popliteal Transection: Supercharging an Anterolateral Thigh Free Flap for Vein Graft Coverage

Samuel R. Skovgaard
1   Division of Plastic Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado
,
Frederic W.B. Deleyiannis
1   Division of Plastic Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado
› Author Affiliations
Further Information

Publication History

22 September 2015

21 December 2015

Publication Date:
03 February 2016 (online)

Abstract

We present the first case of a super charged/venous augmented anterolateral thigh (ALT) free flap used for below-the-knee stump reconstruction. Due to medical knee tissue loss, tunneled vein grafts could have been at risk for exposure. The inclusion of a second pedicle allowed reliable soft tissue coverage of the vein grafts, while the ALT component of the flap covered the exposed tibia.

 
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