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For years, there has been ongoing debate whether the varying blood supplies and tissue compositions between flaps leads to different functional outcomes. Among the many choices that exist, the anterolateral thigh (ALT) flap has become a workhorse for reconstructive surgeries. Currently flap options include a myocutaneous (MC) version and a fasciocutaneous (FC) version. Idean Roohani, BS @ideanroohani.med and his co-authors evaluated the outcomes of ALT flap reconstruction after lower extremity injury in a large cohort at a Level 1 trauma center over a 12-year period. MC flap repairs were more prevalent earlier in the study; however, there has been an increase in FC ALT flap utilization in recent years. The team found that MC and FC ALT flaps show similar functional long-term outcomes, which allows the surgeon to use his expertise to decide what treatment is best for each patient. Outcomes of Anterolateral Thigh Free Flap Reconstruction of Lower Extremity Trauma. Does the muscle matter? Idean Roohani, BS @ideanroohani.med; Anna C Howell, MD; Yun Ji Kim, BA @yun_ji_kb; Katelyn Kondra, MD; Haig Yenikomshian, MD; Joseph N Carey, MD @dr.joseph_carey Division of Plastic and Reconstructive Surgery, Keck School of Medicine of the University of Southern California

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