{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T10:51:21Z","timestamp":1783075881115,"version":"3.54.6"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J reconstr Microsurg"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:p>\n            Background\u2003The anterolateral thigh (ALT) flap remains a workhorse for soft tissue reconstruction. However, the traditional ALT flap is often too bulky for resurfacing shallow, distal extremity defects, prohibiting adequate function, or well-fitted orthotics. This study evaluates extremity reconstruction using ALT flaps elevated in the suprafascial or super-thin plane.<\/jats:p><jats:p>\n            Methods\u2003Retrospective review of ALT free flap reconstruction from October 2014 to July 2016 was performed. Suprafascial and super-thin flaps were those elevated just above the crural fascia and within the superficial scarpal plane, respectively. Adjunct operative procedures, demographics, and complications were recorded.<\/jats:p><jats:p>\n            Results\u2003A total of 25 patients underwent suprafascial (n\u2009=\u200914) or super-thin (n\u2009=\u200911) ALT flap reconstruction for primarily lower extremity wounds (n\u2009=\u200919), with an average age and body mass index of 53.8 years and 26.3 kg\/m2, respectively. Follow-up was 6.3 months. Comorbidities included smoking (n\u2009=\u20097), diabetes (n\u2009=\u20098), peripheral vascular disease (n\u2009=\u20096), and hypertension (n\u2009=\u20098). The presence of hardware (n\u2009=\u20099), trauma (n\u2009=\u200910), and chronic infection (n\u2009=\u200912) were common risk factors. Average flap size was 8.2 \u00d7 21.5 cm, with 64% (n\u2009=\u200916) taken on one perforator. Forty-eight percent (n\u2009=\u200912) were end-to-side anastomoses and 62% (n\u2009=\u200913) utilized one venous anastomosis. Mean hospital stay was 7.8 days with a 24% (n\u2009=\u20096) complication rate. There were no partial or complete flap losses.<\/jats:p><jats:p>\n            Conclusion\u2003The ALT flap, elevated in a suprafascial or super-thin plane, is a safe, effective option for extremity soft tissue reconstruction. The decreased flap volume and bulk provides the improved contour and pliability necessary for appropriate distal extremity function. The potential versatility of super-thin flaps reinforces the importance of continued innovation by reconstructive microsurgeons.<\/jats:p>","DOI":"10.1055\/s-0037-1601422","type":"journal-article","created":{"date-parts":[[2017,3,31]],"date-time":"2017-03-31T22:51:39Z","timestamp":1491000699000},"page":"466-473","source":"Crossref","is-referenced-by-count":73,"title":["Super-Thin and Suprafascial Anterolateral Thigh Perforator Flaps for Extremity Reconstruction"],"prefix":"10.1055","volume":"33","author":[{"given":"Akhil","family":"Seth","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Iorio","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"},{"name":"Department of Orthopaedics, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2017,3,31]]},"container-title":["Journal of Reconstructive Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0037-1601422.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,12,19]],"date-time":"2017-12-19T09:50:34Z","timestamp":1513677034000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0037-1601422"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,31]]},"references-count":0,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2017,8,10]]},"published-print":{"date-parts":[[2017,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0037-1601422","relation":{},"ISSN":["0743-684X","1098-8947"],"issn-type":[{"value":"0743-684X","type":"print"},{"value":"1098-8947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,31]]}}}