Perforator-Based Propeller Flap for Lower Extremity Reconstruction |
Sung-Woo Huh, M.D., Jae-Ho Bae, M.D., Joo-Hyoun Song, M.D., Joo-Yup Lee, M.D. |
Department of Orthopedic Surgery, St. Vincent's Hospital The Catholic University of Korea, Korea. jylos1@gmail.com |
천공지기저 프로펠러 피판술을 이용한 하지 재건 |
, , , |
|
|
Abstract |
Purpose: To report the clinical results of the perforated-based propeller flap for lower extremity soft tissue reconstruction. Materials and Methods: Between January 2010 and June 2012, a total of 16 defects in the lower extremities were covered with perforator-based propeller flaps. Retrospective data for location and size of the defect, flap dimension, pedicle artery, pedicle rotation, complications were obtained. Results: Peroneal artery-based perforator flap were used in eleven cases, posterior tibial artery-based perforator flap in two cases, anterior tibial artery-based perforator flap in one case and medial plantar artery-based perforator flap in two cases. The average size of the flaps was 63 cm2. The marginal skin necrosis of the flaps as a complication was developed in two cases, one of which was covered with splitthickness skin graft. There were no functional deficits from the donor site. Conclusion: For the reconstruction of lower extremities, the perforator-based propeller flap could be a reasonable alternative as it is a simple, safe and versatile technique. |
Key Words:
Lower extremity reconstruction , Perforator flap, Propeller flap |
|
|