ePlasty: Vol. 17
Direct Perforator Anastomosis of Free ALT Flap in Massive Weight Loss Due to Increased Size of Vessels
Amra Kuc, BSa, Kathryn King, MDb, Justin Daggett, MDb, and Deniz Dayicioglu, MDb

aUniversity of South Florida Morsani College of Medicine, Tampa bDivision of Plastic Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, Tampa

Correspondence: amrakuc@health.usf.edu
Keywords: anterolateral thigh flap, massive weight loss, perforators, distal 1/3 defect reconstruction, Gustilo Grade 3B tibial fracture, free flap
Figure 1. Left distal 1/3 defect with exposed tibial fracture site.
Figure 2. Intraoperative view of perforator dissection for the left anterolateral thigh flap. Arrows indicate (from bottom to top) the descending branch of the lateral circumflex femoral artery, intramuscular perforator (dissected), and superficial suprafascial branches of intramuscular perforator.
Figure 3. Final flap inset of the fasciocutaneous anterolateral thigh  .......