000			03434nam a22004337a 4500
008			221213s20222022 xxu||||| |||| 00| 0 eng d
022			_a2169-7574
024			_a10.1097/GOX.0000000000004546 [doi]
024			_aPMC9592261 [pmc]
040			_aOvid MEDLINE(R)
099			_a36299817
245			_aVascular Anatomy of the Anteromedial Thigh Flap: A Systematic Review.
251			_aPlastic and Reconstructive Surgery - Global Open. 10(10):e4546, 2022 Oct.
252			_aPlast. reconstr. surg., Glob. open. 10(10):e4546, 2022 Oct.
253			_aPlastic and reconstructive surgery. Global open
260			_c2022
260			_fFY2023
260			_p2022 Oct
265			_sepublish
266			_d2022-12-13
520			_aConclusions: The variable vascular anatomy of the AMT flap has prevented its widespread adoption in reconstruction. As knowledge regarding pertinent perforator anatomy of the AMT flap increases, so may its utility as an alternative to the ALT flap. This review summarizes the spectrum of anatomy of the AMT vasculature described in the literature to date. Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
520			_aMethods: A systematic review was performed in accordance with PRISMA guidelines. Ovid MEDLINE, Embase, and Web of Science were queried for records pertaining to the study question using Medical Subject Heading terms such as "anteromedial thigh flap" and "free tissue transfer." Study characteristics and anatomic descriptors (including number and type of perforators, origin, and pedicle course supplying the AMT flap) were collected.
520			_aResults: A total of 21 studies representing 723 AMT flaps were identified and included for analysis. Dominant perforators supplying the AMT flap most commonly included the descending lateral circumflex femoral artery (dLCFA; 35%) or the medial branch of the dLCFA (mdLCFA; 33.6%). Average pedicle length ranged from 7.5 to 10.6cm. The majority of AMT perforators were septocutaneous (n = 852, 63.8%) compared with musculocutaneous (n = 483, 36.2%). Perforators to the AMT were absent in 7.6 to 9.1% of clinical cases.
520			_aWhile the anterolateral thigh (ALT) flap is the most commonly employed thigh-based flap for microvascular reconstruction, its counterpart, the anteromedial thigh (AMT) flap, is a useful but underdescribed alternative when ALT perforators are absent or lacking. This review aims to assess the existing literature describing the anatomy and vascular territories supplying the AMT flap.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Washington Hospital Center
656			_aMedStar General Surgery Residency
656			_aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
656			_aPlastic Surgery Residency
656			_aSurgery/Plastic Surgery
657			_aJournal Article
700			_aBekeny, Jenna _bMGUH _cPlastic Surgery Residency _dMD _eResident PGY 2
700			_aDeldar, Romina _bMGUH _cMedStar General Surgery Residency _dMD _eResident PGY 4
700			_aFan, Kenneth L _bMWHC
790			_aAbu El Hawa AA, Attinger CE, Bekeny JC, Deldar R, Evans KK, Fan KL, Huffman SS, Sayyed AA
856			_uhttps://dx.doi.org/10.1097/GOX.0000000000004546 _zhttps://dx.doi.org/10.1097/GOX.0000000000004546
942			_cART _dArticle
999			_c87 _d87