Background: Soft tissue defects in the upper and lower
extremities pose difficult reconstructive challenges. The free
anterolateral thigh (ALT) flap is among the different options
that can be used to reconstruct these defects. This flap is
characterized by a long pedicle with relative ease of dissection.
Patients and Methods: Fourteen patients suffering from
upper and lower extremities defects due to different reasons
were reconstructed using the anterolateral thigh (ALT) flap.
Results: Superficial necrosis occurred in one case and
hematoma in another. Otherwise, all flaps survived well.
Conclusion: The ALT flap can be considered an excellent
and ideal alternative for reconstruction of complex defects in
the upper and lower extremities.