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Cylinder et al. Plast Aesthet Res 2020;7:58 I http://dx.doi.org/10.20517/2347-9264.2020.85 Page 7 of 18

Repeat radial forearm for shaft NR Partial necrosis of the ALT flap occurred in one patient, which was salvaged with split- thickness skin grafting of an area of 2 x 1 cm NR N/A NR

Shaft (1) NR NR NR N/A NR

12/252 overall (4.7%); 2/135 RFFFP 12/135 RFFFP (8.9%) 2/232 (0.9%) 1/19 overall (5.2%); 1/19 ALT (5.2%); 0/19 RFFF neourethra (0%) 10/213 overall (4.7%); 5/64 ALT (7.8%); 5/149 RFFFP (3.4%) 0/27 (0%) 0/39 (0%)

7/252 overall (2.7%); (1.5%) 7/232 (3.0%) 3/19 overall (15.8%); 1/19 ALT (5.2%); 2/19 RFFF neourethra (10.5%) NR 0/27 (0%) 2/39 (5.1%)

10 NR NR NR NR

Delayed Immediate NR with Gottlieb design NR RFF: Immediate ALT: Delayed 1 week later Delayed

TWT TWT Gottlieb & Levine (93.9%); Chang & Hwang (3.2%) TWT (single- stage pedicled ALT with RFFF urethra) TWT TWT Prelamination with skin graft
RFFF (135), groin (119), fibula (2), scapula (1), pedicled randomized (2) 105/229 RFFF (232) Composite (19) Pedicled ALT (64); RFFF (149) RFFF (27) RFFF (39)

NA (45.9%) 6/19 (31.5%) 0/64 RFFFP; ALT (0%); 2/149 RFFFP (3.0%) NA 20/39 (51.3%)

40 33.8 36.5 36.7 36.2 ALT NA 34.8

0 0 19 64 0 0

135 232 0 149 27 39

27 (15 had supercharging)
252 229 19 39

1993 - 2009 AGAPLESION January 1993 - December 2015 2008 - December 2015 April 2013 213 - July 2016 NA 2011-2017

Markus Krankenhaus Markus hospital van der Sluis et al. [28] , VU University January Medical Center, Amsterdam Private Practice, San Francisco Ghent Elisabeth Klinik

Baumeister et al. [15] , 2011 Wirthmann et al. [29] , 2018 2017 Ascha et al. [14] , 2018 De Wolf et al. [17] , 2019 Küntscher et al. [23] , 2019