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Abstract
Musculocutaneous (MC) free flaps are useful for many reconstructive indications. Perforator flaps have become a standard of care. The anterolateral thigh flap (ALT) is popular. With it, varying sizes of the vastus lateralis (VL) muscle can be harvested as an MC flap. The skin islands of these flaps have a great range of freedom when dissected on their perforators. It was hypothesized that the VL-ALT perforator flap would offer adequate tissue stock combining maximal freedom in planning with minimal donor site morbidity.
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