PMID- 30552758
OWN - NLM
STAT- MEDLINE
DCOM- 20190304
LR  - 20221207
IS  - 1643-3750 (Electronic)
IS  - 1234-1010 (Print)
IS  - 1234-1010 (Linking)
VI  - 24
DP  - 2018 Dec 15
TI  - Alternative Design for Anterolateral Thigh Multi-Paddled Flaps: The 3-5 System.
PG  - 9102-9109
LID - 10.12659/MSM.911883 [doi]
AB  - BACKGROUND The design and harvest of the anterolateral thigh (ALT) multi-paddled 
      flap is a critical step in reconstructive surgeries. However, limited perforator 
      distribution patterns of traditional design methods have gradually emerged in 
      clinical practice. The aim of this study was to investigate the effect of a new 
      technique (the 3-5 system) on ALT multi-paddled flap design. MATERIAL AND METHODS 
      A total of 151 ALT flaps were harvested from 149 patients over a 26-month period. 
      Among them, 100 ALT flaps were examined preoperatively using a handheld Doppler 
      device to localize vascular perforators. RESULTS By detecting perforator 
      penetration points through the vastus lateral muscle (VLM) or the intermuscular 
      septum and perforator entry points to the deep fascia, precise ALT flap 
      perforator distribution patterns were found. Meanwhile, a 3-5 system was 
      developed to design ALT flaps based on these findings. The remaining 51 ALT flaps 
      from 49 patients during a 9-month period did not require the use of preoperative 
      handheld Doppler. In addition, preoperative handheld Doppler and intraoperative 
      findings demonstrated that all ALT flap penetration points through the VLM or 
      intermuscular septum and the perforator entry point in the deep fascia were 
      closely related based on 3 longitudinal lines and 5 horizontal lines. CONCLUSIONS 
      ALT flaps were successfully harvested using a 3-5 system without the need for 
      preoperative handheld Doppler analysis. Moreover, the 3-5 system is a simple and 
      practical approach for preoperative ALT multi-paddled flap design.
FAU - Deng, Chengliang
AU  - Deng C
AD  - Department of Plastic Surgery, Affiliated Hospital of Zunyi Medical College, 
      Zunyi, Guizhou, China (mainland).
FAU - Chang, Shusen
AU  - Chang S
AD  - Department of Plastic Surgery, Affiliated Hospital of Zunyi Medical College, 
      Zunyi, Guizhou, China (mainland).
FAU - Wei, Zairong
AU  - Wei Z
AD  - Department of Plastic Surgery, Affiliated Hospital of Zunyi Medical College, 
      Zunyi, Guizhou, China (mainland).
FAU - Jin, Wenhu
AU  - Jin W
AD  - Department of Plastic Surgery, Affiliated Hospital of Zunyi Medical College, 
      Zunyi, Guizhou, China (mainland).
FAU - Li, Hai
AU  - Li H
AD  - Department of Plastic Surgery, Affiliated Hospital of Zunyi Medical College, 
      Zunyi, Guizhou, China (mainland).
FAU - Nie, Kaiyu
AU  - Nie K
AD  - Department of Plastic Surgery, Affiliated Hospital of Zunyi Medical College, 
      Zunyi, Guizhou, China (mainland).
FAU - Tang, Xiujun
AU  - Tang X
AD  - Department of Plastic Surgery, Affiliated Hospital of Zunyi Medical College, 
      Zunyi, Guizhou, China (mainland).
FAU - Wang, Dali
AU  - Wang D
AD  - Department of Plastic Surgery, Affiliated Hospital of Zunyi Medical College, 
      Zunyi, Guizhou, China (mainland).
LA  - eng
PT  - Journal Article
DEP - 20181215
PL  - United States
TA  - Med Sci Monit
JT  - Medical science monitor : international medical journal of experimental and 
      clinical research
JID - 9609063
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Perforator Flap/*surgery
MH  - Quadriceps Muscle/*surgery
MH  - Plastic Surgery Procedures/*methods
MH  - Surgical Flaps/surgery
MH  - Thigh/surgery
MH  - Ultrasonography, Doppler/methods
PMC - PMC6319140
COIS- Conflict of interest None.
EDAT- 2018/12/16 06:00
MHDA- 2019/03/05 06:00
PMCR- 2018/12/15
CRDT- 2018/12/16 06:00
PHST- 2018/12/16 06:00 [entrez]
PHST- 2018/12/16 06:00 [pubmed]
PHST- 2019/03/05 06:00 [medline]
PHST- 2018/12/15 00:00 [pmc-release]
AID - 911883 [pii]
AID - 10.12659/MSM.911883 [doi]
PST - epublish
SO  - Med Sci Monit. 2018 Dec 15;24:9102-9109. doi: 10.12659/MSM.911883.