The pedicled anterolateral thigh flap is a useful addition to our armamentarium. It provides excellent cover for defects in the lower abdomen, pelvis, and perineum. It also has the added advantage of not sacrificing any muscle, thereby minimizing the risk for donor morbidity. This article reviews the major applications of the proximally pedicled anterolateral thigh flap, describes the technique of flap harvest, and discusses techniques of flap transposition as well as pointing out some potential hazards.
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