Clinical application of the free anterolateral thigh chimeric muscle flap for reconstruction of composite tissue defects of the forearm and hand

The ALT-CMF is an effective reconstructive option for composite tissue defects of the forearm and hand. By providing reliable soft-tissue coverage, eliminating dead space through its chimeric muscle component, and supporting functional restoration in terms of joint mobility and sensation. This technique enables one-stage reconstruction with low donor-site morbidity and promotes favorable limb recovery.