The consistency of the proximal perforator by using Color Doppler in anterolateral thigh flap.

Abstract

Objectives: The objectives of the study are to determine the consistency of the proximal perforator in terms of its presence and location prospectively using preoperative color doppler and per operative confirmation in patients requiring anterolateral thigh flap. Study Design: Descriptive Case Series. Setting: Department of Plastic Surgery at Jinnah Hospital Lahore. Period: From April 2017 to October 2017. Material & Methods: A total of 60 patients requiring anterolateral thigh flap were recruited for the study. Consistency of the proximal anterolateral thigh flap perforator was labeled if AK/AP ≤ 0.45. Findings were confirmed per operatively. Results: Presence of proximal perforator was consistent in 51 (85%) individuals with mode of 0.42 (AK/AP ratio) ± 0.04cm SD. Similarly per operative presence of the proximal perforator was consistent in 54 (90%) individuals with mode of 0.42 (AK/AP ratio) ± 0.04cm SD. Conclusion: Proximal perforator is highly consistent in its presence and place in our population requiring anterolateral thigh flap.