Versatility of Anterolateral Thigh Perforator Flap as a Pedicled Flap

The pedicled anterolateral thigh (ALT) flap based on septocutanous or musculocutanous perforators of the lateral circumflex femoral system is a reliable flap. The use of ALT flap as a pedicled flap is relatively unpopular if compared with its use as a free flap. The flap can be raised as a fasciocutaneous or muscle flap or myocutaneous flap. The pedicled flap has got a lengthy pedicle with a liberal arc of rotation. The pedicled flap can be used for coverage of locoregional defects in the groin, perineum, trochanteric region, medial aspect of the thigh and knee. It can play an important role for penile reconstruction.