IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-7-16192 Original Research Paper THE VERSATILITY OF ANTEROLATERAL THIGH FLAP: OUR EXPERIENCE OVER A PERIOD OF 2 YEARS M.Lopamudra Dr. July 2018 7 7 01 02 ABSTRACT

 Introduction–The anterolateral thigh (ALT) flap was introduced by Song et al in 1984 based on septocutaneous branches of the descending branch

of the lateral circumflex femoral artery.
Materials and methods– The study was carried out over a period of 2 years. Various defects over the body for head and neck reconstruction, upper
extremity reconstruction, lower extremity reconstruction, abdominal wall reconstruction, groin defects, knee defects were considered. Pedicled
and free anterolateral thigh flap was done in 22 patients over a period of 2 years.
Observation– of the 22 patients, 2 patients were ‹ 15 years. 10 patients were male & 12 patients were female. Free ALT flap was done in 14 patients
and pedicled ALT was done in 8 patients. Free thin ALT flap was done in 2 cases of neck contracture. In 20 cases fasciocutaneous ALT flap was
done. In 2 cases composite ALT flap was done. Donor site was closed primarily in 8 cases and STSG was done in 14 cases. There were minor
complications in 2 cases but the flap could be revived by conservative means.
Conclusion– The ALT flap is a very versatile flap, as it can be used in virtually all areas of the body. The long pedicle length, the versatility in flap
volume and variability in component construct, and the minimal donor site morbidity make ALT flap an ideal flap for soft tissue reconstruction.