ArticlePlastic and reconstructive surgery. Global open2026
Reconstruction of Snakebite-induced Hand Defects Using Free Anterolateral Thigh Adipofascial Flap with Skin Grafting: A Literature Review.
Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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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Authors and funding
5 authors.
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Abstract
Background: Treating complex hand defects from cobra bites is a significant challenge for plastic surgeons. Microsurgical fascia flaps, especially the free anterolateral thigh (ALT) fascial flap, have been successfully used to reconstruct exposed tendons and soft-tissue injuries in single-stage procedures. Methods: This study discusses the use of the free ALT adipofascial (AF) flap for the successful reconstruction of venomous cobra bite injuries. After debridement, the resulting wounds were complex, often presenting full-thickness soft-tissue defects with exposed tendons. We covered these with the flap and immediately applied full-thickness skin grafts. Results: Thirty free ALT-AF flaps were used, with an average flap length of 11 cm and width of 5.6 cm, covering an area of 65.8 cm Conclusions: The free ALT-AF flap with a skin graft is effective for reconstructing complex hand injuries and may improve aesthetic and functional outcomes in snakebite cases.
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