The ALT Free Flap Procedure scored higher in the appearance domain. 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 Shouldn't Be Banned"? Get an Original Essay Reconstructive options for inguinal defects can be Sartorius, Gracilis, rectus abdominis, rectus femoris, tensor fasciae latae and myocutaneous flaps, anterolateral thigh flap, and local skin flaps.84 Sartorius has a segmental blood supply (Type IV) and a thin muscular belly, which in many cases is not suitable for the type of defect we need to cover. Skin availability is limited in gracilis flaps and rectus abdominis myocutaneous flap leads to abdominal wall weakness. The tensor fascia latae flap creates unacceptable dog ears and a skin graft is required at the donor site, while the rectus femoris flap may cause knee extension weakness. The requirements of the recipient site determine 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. The size, shape and volume can be adjusted. The property of the flap is elastic. The skin area of ​​the flap is very large and has large flaps measuring 25 x 18 cm. can survive with just one punch. 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. However, the ALT flap has some disadvantages: Technically more demandingVariability in the position of the perforators. Need for STSG for closure of the donor site in some cases of large flaps. In our cases, due to the proximity of the donor and recipient site, we are able to use the flap tissue as a pedicled flap. Kimata Y. et al.52 reported their experience of 74 cases in which ALT flaps were used successfully as pedicled flaps mainly to reconstruct defects of the groin and abdominal wall. In most cases they used it as a fasciocutaneous flap while we also used it mainly as a fasciocutaneous flap to meet the needs 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 demonstrates the versatility of pedicled ALT flaps as a reconstructive tool. In our study, partial flap losses were managed by debridement and primary closure. Among trauma to the UE and LE, severe soft tissue defects that expose ligaments or bone require reconstruction to prevent infection. Reconstruction methods largely include a skin graft, local pedicle flap, distant pedicle flap, and free flap. The main purpose of reconstruction using the free flap is to isolate the exposed tissue from the outside, but the approaches to UEs and LEs are different in functional terms. The UE is the most exposed area and its functional recovery for activities of daily living as well as aesthetic recovery should be the focus of treatment. LEs, however, are largely hidden. Therefore, compared to UEs, the basic functions of LEs, such as the ability to wear shoes and walk without pain, are more important than cosmetic recovery. According to previous studies, in LE reconstruction, the donor site on the same side as the recipient extremity is advantageous because a change in position is not necessary 2.