ArticlePlastic and reconstructive surgery. Global open2025
Three Dimensional-CTA versus Doppler Ultrasound for Anterolateral Thigh Flap Reconstruction in Limb Defects: A Retrospective Study.
Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- [Establishment and preliminary clinical validation of an artificial intelligence-assisted perforator identification model for anterolateral thigh perforator flaps based on ICGA videos].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2026Article
- [Clinical efficacy of pedicled double-perforator flap of the inferior epigastric artery in reconstructing the soft tissue defects following resection of cutaneous malignant tumors].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2026Article
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Authors and funding
8 authors.
Funding
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Abstract
Background: Soft tissue limb defects often require anterolateral thigh (ALT) flap reconstruction, but anatomical variability of perforator vessels poses a challenge. The comparative efficacy of 3-dimensional computed tomographic angiography (3D-CTA) and color Doppler ultrasonography (CDUS) for preoperative planning remains unclear. Methods: This retrospective study analyzed 95 patients who underwent ALT flap limb reconstruction between March 2017 and May 2023, comparing a 3D-CTA-guided group (n=45) with a CDUS-guided group (n=50). Key outcomes included perforator mapping accuracy, surgical efficiency, postoperative complications, functional and aesthetic results, and cost-effectiveness. Results: Use of 3D-CTA demonstrated superior perforator detection sensitivity (98.4% versus 85.8%, Conclusions: For ALT flap reconstruction in limb defects, 3D-CTA provides superior perforator mapping, enhances surgical efficiency, improves clinical outcomes, and offers greater cost-effectiveness compared with CDUS. These findings support prioritizing 3D-CTA in preoperative planning for complex limb salvage.
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Registered trials
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