{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T12:32:47Z","timestamp":1774701167170,"version":"3.50.1"},"reference-count":25,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["EBJ"],"abstract":"<jats:p>Introduction: The indication for a free flap in acute burn reconstruction is very specific. It should avoid several complications that are more common in the burned patient population. We propose an anterolateral thigh (ALT) flap as a first option for primary burn reconstruction in microvascular free flap reconstruction in burned patients. Patients and Methods: A retrospective review of all acutely burned patients treated with microvascular ALT free flap reconstruction between the years 2005 and 2022 in the Vall d\u2019Hebron Barcelona Hospital Campus Burn Centre was conducted. Results: We performed 30 ALT flaps for primary burn reconstruction. The majority of patients were male (87.5%), with a mean age of 36.7 years, and 37% of patients were smokers. High-voltage electrical burns were the most common etiology. The mean time between burn injury and microsurgery was 22 days. The main recipient site was the lower limb. The flap survival rate was 96.6%. One patient required a meshed skin graft to cover a defect in the proximal third due to peripheral flap necrosis. One flap experienced mild congestion, which resolved spontaneously. Another flap had a local infection, which resolved with antibiotic therapy and surgical debridement. Conclusions: An ALT flap offers several advantages to a burned patient, provided that the surgical technique and postoperative management described in this study are followed. We propose it as the first option for primary burn reconstruction using free flaps in a burned patient.<\/jats:p>","DOI":"10.3390\/ebj6020034","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T04:42:25Z","timestamp":1749530545000},"page":"34","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Anterolateral Thigh Flap for Acute\/Primary Burn Reconstruction"],"prefix":"10.3390","volume":"6","author":[{"given":"Eva","family":"Verdaguer","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery and Burn Center, Vall d\u2019Hebron Barcelona Hospital Campus, Passeig de la Vall d\u2019Hebron 119-129, 08035 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Bulla","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Burn Center, Vall d\u2019Hebron Barcelona Hospital Campus, Passeig de la Vall d\u2019Hebron 119-129, 08035 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3268-6361","authenticated-orcid":false,"given":"Jordi","family":"Serracanta","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Burn Center, Vall d\u2019Hebron Barcelona Hospital Campus, Passeig de la Vall d\u2019Hebron 119-129, 08035 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1137-289X","authenticated-orcid":false,"given":"Danilo","family":"Rivas","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Burn Center, Vall d\u2019Hebron Barcelona Hospital Campus, Passeig de la Vall d\u2019Hebron 119-129, 08035 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7115-4830","authenticated-orcid":false,"given":"Juan P.","family":"Barret","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Burn Center, Vall d\u2019Hebron Barcelona Hospital Campus, Passeig de la Vall d\u2019Hebron 119-129, 08035 Barcelona, Spain"},{"name":"Department of Surgery, School of Medicine, Universitat Aut\u00f2noma de Barcelona, 08035 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1016\/j.burns.2014.01.008","article-title":"A systematic review of the applications of free tissue transfer in burns","volume":"40","author":"Jabir","year":"2014","journal-title":"Burns"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"107210","DOI":"10.1016\/j.burns.2024.07.014","article-title":"Outcome comparison of the most commonly employed wound coverage techniques in patients with massive burns \u226550% TBSA\u2014A systematic review and meta-analysis","volume":"50","author":"Haug","year":"2024","journal-title":"Burns"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.cps.2024.02.005","article-title":"The Role of Microsurgery in Burn Surgery","volume":"51","author":"Egro","year":"2024","journal-title":"Clin. Plast. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1016\/S0305-4179(01)00006-7","article-title":"Free flaps in burn reconstruction","volume":"27","author":"Boeckx","year":"2001","journal-title":"Burns"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/j.burns.2006.06.022","article-title":"Thirty-eight free fasciocutaneous flap transfers in acute burned-hand injuries","volume":"33","author":"Pan","year":"2007","journal-title":"Burns"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1821","DOI":"10.1016\/j.injury.2015.04.029","article-title":"Microvascular free tissue transfer in acute and secondary burn reconstruction","volume":"46","author":"Jabir","year":"2015","journal-title":"Injury"},{"key":"ref_7","first-page":"233","article-title":"The role of microsurgical flaps in primary burn reconstruction","volume":"31","author":"Meireles","year":"2018","journal-title":"Ann. Burns Fire Disasters"},{"key":"ref_8","unstructured":"Herndon, D.E. (2012). Total Burn Care: Expert Consult, Saunders."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1097\/01.PRS.0000041445.76730.23","article-title":"Effects of burn wound excision on bacterial colonization and invasion","volume":"111","author":"Barret","year":"2003","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1097\/01.prs.0000246512.47204.da","article-title":"Microvascular reconstruction in burn and electrical burn injuries of the severely traumatized upper extremity","volume":"119","author":"Sauerbier","year":"2007","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1097\/PRS.0000000000001103","article-title":"Anatomical variability of the anterolateral thigh flap perforators: Vascular anatomy and its clinical implications","volume":"135","author":"Lee","year":"2015","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_12","first-page":"269","article-title":"Colgajo anterolateral del muslo: Anatom\u00eda quir\u00fargica, t\u00e9cnica de disecci\u00f3n y aplicaciones cl\u00ednicas","volume":"32","author":"Vives","year":"2006","journal-title":"Cir. Pl\u00e1st. Iberolatinoam."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1002\/hed.21204","article-title":"Anterolateral thigh flap","volume":"32","author":"Wong","year":"2010","journal-title":"Head Neck"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1136\/bmj.39335.541782.AD","article-title":"Strengthening the Reporting of Ob-servational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"335","author":"Altman","year":"2007","journal-title":"BMJ"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1016\/j.bjps.2006.12.010","article-title":"Current concepts of microvascular reconstruction for limb salvage in electrical burn injuries","volume":"60","author":"Ofer","year":"2007","journal-title":"J. Plast. Reconstr. Aesthetic Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1016\/0305-4179(96)00012-5","article-title":"Free tissue transfer in the management of burns","volume":"22","author":"Platt","year":"1996","journal-title":"Burns"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1002\/hed.20050","article-title":"Characteristics of the anterolateral thigh flap in a western population and its application in head and neck reconstruction","volume":"26","author":"Yu","year":"2004","journal-title":"Head Neck"},{"key":"ref_18","first-page":"309","article-title":"Functional reconstruction of acutely burnt achilles tendon with composite anterolateral thigh flap with fascia lata: A case report","volume":"30","author":"Barret","year":"2017","journal-title":"Ann. Burns Fire Disasters"},{"key":"ref_19","first-page":"39","article-title":"Microsurgery in the burn population\u2014A review of the literature","volume":"28","author":"Ibrahim","year":"2015","journal-title":"Ann. Burns Fire Disasters"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.burns.2004.07.014","article-title":"Principles of microvascular reconstruction in burn and electrical burn injuries","volume":"31","author":"Baumeister","year":"2005","journal-title":"Burns"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1097\/00006534-199206000-00001","article-title":"Early free-flap coverage of electrical and thermal burns","volume":"89","author":"Chick","year":"1992","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1097\/SAP.0b013e31825b3d3a","article-title":"Anterolateral thigh flap thinning: Techniques and complications","volume":"72","author":"Agostini","year":"2014","journal-title":"Ann. Plast. Surg."},{"key":"ref_23","first-page":"285","article-title":"Experimental study of free flap transplantation after debridement in early stage of electric burn","volume":"6","author":"Kuo","year":"1990","journal-title":"Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/S0007-1226(97)91298-4","article-title":"The combined scapular\/parascapular flap for the treatment of extensive electrical burns of the upper extremity","volume":"50","author":"Cerkes","year":"1997","journal-title":"Br. J. Plast. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1548","DOI":"10.1097\/PRS.0b013e3181ef8c9f","article-title":"One versus two venous anastomoses in microvascular free flap surgery","volume":"126","author":"Hanasono","year":"2010","journal-title":"Plast. Reconstr. Surg."}],"container-title":["European Burn Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2673-1991\/6\/2\/34\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:49:09Z","timestamp":1760032149000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2673-1991\/6\/2\/34"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,10]]},"references-count":25,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,6]]}},"alternative-id":["ebj6020034"],"URL":"https:\/\/doi.org\/10.3390\/ebj6020034","relation":{},"ISSN":["2673-1991"],"issn-type":[{"value":"2673-1991","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,10]]}}}