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Reconstruction of a knee defect in a morbidly obese patient with a pedicled reverse anterolateral thigh flap
  1. Mari Irgens Bøkset,
  2. Martin Söderman,
  3. Jørn Bo Thomsen and
  4. Jens Ahm Sørensen
  1. Department of Plastic and Reconstructive Surgery, Odense University Hospital, Odense, Syddanmark, Denmark
  1. Correspondence to Dr Mari Irgens Bøkset; mboekset{at}


The anterolateral thigh (ALT) flap is widely used in the reconstruction of a variety of soft tissue defects. Descriptions of patients with severe obesity in the literature are scarce. We report a case where a reverse pedicled fasciocutaneous ALT flap was successfully used for resurfacing of a knee defect measuring 12×6 cm in a patient with a body mass index (BMI) of 47.3. The flap was supercharged to the greater saphenous vein to optimise flap survival. Reconstruction of the soft tissue of the knee was achieved as planned. There were no flap or donor site complications.

  • Plastic and reconstructive surgery
  • Surgery

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  • Contributors MIB: writing and revising manuscript, follow-up with case patient. MS: writing and revising manuscript, photo editing. JBT: writing and revising manuscript. JAS: writing and revising manuscript.

  • Funding This study was funded by Odense Universitetshospital (406788).

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.