Functional Reconstruction of a Large Anterior Thigh Defect Using Contralateral Anterolateral Thigh Flap with Tensor Fasciae Latae and Motorized Vastus Lateralis

Reconstructive surgeons strive to return to their patients what fate has taken away, a mission particularly evident in limb salvage surgery (LSS). Patients with soft tissue sarcomas, aggressive tumors that require wide resections or amputation, have particularly benefited from strides in this field that has been made possible by cross-sectional imaging, adjuvant therapy, and microsurgery. With equal to or greater than 5-year survival outcomes compared with amputation, this multimodal approach has become the standard of care.[1]

The anterior thigh, the most common location of soft tissue sarcomas,[2] has become a focus of LSS efforts. Here, we reveal a novel approach to a massive anterolateral thigh (ALT) deficit, including the use of a neuromotor, neurosensory, composite myocutaneous ALT graft from the contralateral thigh.

• References

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