We report a series of four ALT flaps performed in children
over a 12-month period. Three patients had tissue defects resulting from trauma, while another had break down of the previous
wound following amputation. We experienced an overall flap success rate of 100% and had only minor complications of partial
wound dehiscence in one patient and superficial infection in one patient. The function and cosmetic outcome of these patients
at review was excellent. Despite the technical difficulties associated with microsurgery in this age group, the results of
this small study suggests the versatility of the ALT flap in adults may be equivalent to a paediatric population. The psychological
impact of any free tissue transfer on both children and their parents should not be underestimated.
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