Clinical effect of free anterolateral thigh perforator flap transplantation in treatment of scar deep to bone

  Objective  To investigate the treatment method of skin eruptions and malignant transformation of scar deep to bone after extensive deep burn.

  Methods  A total of 12 patients with large area burn scar treated with free anterolateral thigh perforator flap transplantation were conducted free perforator flap of lateral femoral artery to repair the wound. The appearance, color, texture, sensation of the flap and the appearance and function of donor site were observed during followed up.

  Results  The free flaps survived completely in all 12 patients. The scar was excised after operation, no metastasis or recurrence occurred in patients with malignancies.

  Conclusion  Free anterolateral thigh perforator flap transplantation can fundamentally solve the risk of repeated scar rupture, infection and malignant transformation and metastasis, and can improve the quality of life and long-term prognosis of patients.