The ALT Free Flap procedure had a higher score in the appearance area. This may be due to the ALT FLAP donor site scar being less likely to be exposed. Say no to plagiarism. Get a tailor-made essay on “Why violent video games should not be banned”?Get the original essayReconstruction options for groin abnormalities may be Sartorius, Gracilis, Rectus abdominis, Rectus Femoris, tensor femoris muscle fascia lata and myocutaneous flaps, the anterolateral thigh flap and local skin flaps.84 Sartorius has a segmental blood supply (type IV) and a thin muscle belly, which in many cases is not suitable for the type of defect we need cover. Skin availability is limited in Gracilis flaps and the rectus abdominis myocutaneous flap results in abdominal wall weakness. The tensor fascia lata flap creates unacceptable dog ears and a skin graft is required at the donor site, while the rectus femoris flap can cause weakness in knee extension. The requirements of the recipient site dictate the choice of flaps in a particular case. However, we used ALT flaps because of its advantages: The pedicle is long and has large caliber vessels. Size, shape and volume can be adjusted. The property of the flap is flexible. The skin territory of the flap is very wide and large and flaps measuring 25 x 18 cm. can survive with just one puncher. The flap can also be combined with other local flaps and free flaps. Primary closure of the donor site is possible when the width is < 8 cm. The ALT flap, however, has few disadvantages: Technically more demanding. variability of the position of the perforators. Need for STSG for donor site closure in certain cases of large flaps. In our cases due to the proximity of the donor and recipient sites, we are able to use the flap tissue as a pedicled flap. Kimata Y. et al.52 reported their experience of 74 cases where ALT flaps were successfully used as pedicled flaps primarily for reconstruction of groin and abdominal wall defects. In most cases, they used it as a fasciocutaneous flap, while we also mainly used it as a fasciocutaneous flap to meet the requirements of the recipient site. Sheng Kang Luo et al.35 demonstrated that ALT fasciocutaneous flaps can be used for difficult reconstruction of the perineal and genital area, especially scrotal reconstruction. This once again proves the versatility of pedicled ALT flaps as a reconstructive tool. In our study, partial flap losses were managed by debridement and primary closure. Among UE and LE trauma, severe soft tissue defects exposing ligaments or bones require reconstruction to prevent infection. Reconstruction methods largely include skin grafting, local pedicle flap, distant pedicle flap, and free flap. The main goal of free flap reconstruction is to isolate externally exposed tissue, but UE and LE approaches are different in functional terms. The UE is the most exposed area and its functional recovery for activities of daily living as well as its aesthetic recovery must be the focus of treatment. LEs, on the other hand, are largely hidden. Therefore, compared to UEs, basic functions of LEs, such as the ability to wear shoes and walk without pain, are more important than aesthetic recovery. According to studies 2.