[Anterolateral thigh flap for limb reconstructive surgery: four case reports].

Purpose Of The Study: We report four cases of anterolateral thigh flap reconstructions, searching for the different advantages and disadvantages of this type of flap.

Material And Method: A pure skin flap was used to cover tissue loss on the plantar surface of the foot both in weight-bearing and non-weight-bearing zones as well as to cover the dorsal aspect of the first commissura of the hand. A musculocutaneous flap (fragment of the vastus lateralis) was associated with an iliac cancellous graft to treat septic nonunion of the tibia.

Microsurgical replantation of a totally amputated ear without venous repair.

The authors present a case of successful replantation of a totally avulsed ear in a 37-year-old patient, using a termino-terminal arterial anastomosis on the superficial temporal artery. As no suitable vein could be identified in the amputated part, they relied on leech therapy and systemic anticoagulation for venous drainage. Despite an 18-hr ischemia, the ear survived completely.

[Y anastomosis of a free lap on peroneal artery after peroneal osteotomy. Report of a case].

The authors report a case of an Y anastomosis of a free flap on the peroneal artery. A 30-year-old patient, the victim of a multi-traumatism after a motorcycle accident, presented open tibia and peroneal fractures and skin defect at the dorsal aspect of the foot uncovering several fractures and luxations of the foot. When general state of health allowed the achievement of a free flap, the authors noted that the two tibial arteries were destroyed with an extensive thrombosis on each side of the injury which precluded the reconstruction of a reliable artery axis.