Propeller Flaps of the Lower Extremity

被引:6
作者
Liette, Michael D. [1 ]
Rodriguez, Pedro [2 ]
Bibbo, Christopher [3 ]
Masadeh, Suhail [4 ]
Ellabban, Mohamed A. [5 ]
机构
[1] Univ Cincinnati, Med Ctr, 231 Albert Sabin Way,ML 0513, Cincinnati, OH 45276 USA
[2] OSF St Anthony Med Ctr, Plast & Reconstruct Surg, 698 Featherstone Rd, Rockford, IL 61107 USA
[3] Sinai Hosp Baltimore, Int Ctr Limb Lengthening, Rubin Inst Adv Orthoped, Foot & Ankle Surg Reconstruct Plast & Microsurg &, 2401 West Belvedere Ave, Baltimore, MD 21215 USA
[4] Univ Cincinnati, Cincinnati Vet Affairs Med Ctr, Med Ctr, 231 Albert Sabin Way,Ml 0513, Cincinnati, OH 45276 USA
[5] Suez Canal Univ, Hosp & Med Sch, Ismailia 41522, Egypt
关键词
Propeller flap; Ulceration; Fasciocutaneous; Lower limb reconstruction; Limb salvage; Perforator; SOFT-TISSUE-DEFECTS; PEDICLED PERFORATOR FLAP; DISTAL LOWER-EXTREMITY; CLINICAL-APPLICATION; LOWER LEG; RECONSTRUCTION; COVERAGE; DOPPLER; REPAIR; CLASSIFICATION;
D O I
10.1016/j.cpm.2020.06.001
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Wounds of the lower extremity involving the distal third of the leg remain a significant challenge due to anatomic location and often poor host physiology. Perforator-based propeller flaps may provide rapid coverage of these wounds with a relatively low rate of major complications and often readily managed minor complications. A thorough vascular evaluation must be performed prior to the procedure to ensure adequate flap design and selection of the correct perforator is performed. They have the added advantage over their soft tissue free flap counterparts in that they have significantly less host morbidity with similar rates of total necrosis. © 2020
引用
收藏
页码:727 / 742
页数:16
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