Anterolateral thigh flap(ALTF)was first reported by Chinese scholars,and after 40 years of in-depth research by domestic and foreign scholars,it has been continuously innovated,and is known as"universal flap".Up to now,there were nearly 20 perforator mapping methods to assist ALTF localization of perforating branch,and there were nearly 20 flap design and incision schemes.Based on the applied anatomy of ALTF,perforator mapping methods and optimal design,this paper summarized the selection of perforator mapping methods and various flap optimization design of ALTF engaged in by the author for more than 10 years in order to further improve its clinical application value.
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