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The island pedicled anterolateral thigh (pALT) flap via the lateral subcutaneous tunnel for recurrent ischial ulcers  E.H.J. Kua, C.H. Wong, S.W. Ng,

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Presentation on theme: "The island pedicled anterolateral thigh (pALT) flap via the lateral subcutaneous tunnel for recurrent ischial ulcers  E.H.J. Kua, C.H. Wong, S.W. Ng,"— Presentation transcript:

1 The island pedicled anterolateral thigh (pALT) flap via the lateral subcutaneous tunnel for recurrent ischial ulcers  E.H.J. Kua, C.H. Wong, S.W. Ng, K.C. Tan  Journal of Plastic, Reconstructive & Aesthetic Surgery  Volume 64, Issue 1, Pages e21-e23 (January 2011) DOI: /j.bjps Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions

2 Figure 1 Suture dehiscence of medial tip of buttock rotation flap directly over previous recurrent ischial ulcer site. Journal of Plastic, Reconstructive & Aesthetic Surgery  , e21-e23DOI: ( /j.bjps ) Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions

3 Figure 2 Island pedicled ALT fasciocutaneous flap elevated.
Journal of Plastic, Reconstructive & Aesthetic Surgery  , e21-e23DOI: ( /j.bjps ) Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions

4 Figure 3 A cuff of vastus lateralis muscle was excised to extend the reach and prevent kinking of the pedicle. Journal of Plastic, Reconstructive & Aesthetic Surgery  , e21-e23DOI: ( /j.bjps ) Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions

5 Figure 4 Flap inset and wound closure.
Journal of Plastic, Reconstructive & Aesthetic Surgery  , e21-e23DOI: ( /j.bjps ) Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions

6 Figure 5 Long-term outcome (13 months post-operation).
Journal of Plastic, Reconstructive & Aesthetic Surgery  , e21-e23DOI: ( /j.bjps ) Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons Terms and Conditions

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