Coverage of Severely Burn Injured Knee with Supercharged Reverse ALT Flap: Avoiding Limb Amputation

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Author Info

Aranzazu Andrés-Collado Alejandra Monte-Soldado Oriol Cases-Perera Bernat Miquel López-Masramón Jorge Aguilera-Sáez Danilo Antonio Rivas-Nicolls Jordi Serracanta-Doménech

Corresponding Author

Jorge Aguilera-Sáez
Plastic Surgery Department and Burn Center, Vall d´Hebron Barcelona Hospital Campus, Barcelona, Spain

A B S T R A C T

Primary skin and soft tissue reconstruction of large defects around the knee may be a challenge for the plastic surgeon. Fasciocutaneous flaps play an essential role in achieving functional and aesthetic restoration. We present the surgical reconstruction of an extensive 3rd degree burn injury with knee joint capsule and ligaments involvement in a 51-year-old patient. Devitalized structures were firstly debrided and a supercharged reverse anterolateral thigh (RALT) flap was used to cover the resultant tissue defect. The ALT fascia was employed to reconstruct the damaged joint capsule in order to restore articular function. The supercharged RALT flap has a greater blood supply compared with standard flaps and enables us to use larger flaps to reconstruct extensive knee and proximal leg tissue defects.

Article Info

Article Type

Case Report

Publication history

Received: Mon 21, Sep 2020
Accepted: Sat 03, Oct 2020
Published: Mon 12, Oct 2020

Copyright

© 2023 Jorge Aguilera-Sáez. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.10.05