Reconstruction of dorsal and palmar defects of hand with anterolateral thigh flaps from one donor site.

The anterolateral thigh (ALT) flap is becoming the flap of choice for reconstruction of soft tissue defects with primary donor site closure. The purpose of this report was to review the reconstruction of dorsal and palmar defects of the hand with ALT flaps from one donor site. From 2016 to 2018, seven patients with dorsal and palm defects of the hand were reconstructed with the ALT flaps from one donor site. The cutaneous perforators of the two paddles were from a common vascular supply in five cases. The Michigan Hand Questionnaire (MHQ) score of the function was 37.8 ± 10.0 points, and pain score was 32.9 ± 23.4 points. All of the donor sites healed well in one stage. The use of ALT flaps from one donor site is a good strategy for the reconstruction of dorsal and palm defects of the hand with minimal donor site morbidity and a favorable outcome.