Propeller Flaps in Lower Extremity Reconstruction

被引:4
作者
Blough, Jordan T. [1 ]
Saint-Cyr, Michel H. [2 ]
机构
[1] Scott & White Mem Hosp & Clin, Baylor Scott & White Hlth, Div Plast Surg, 2401 South 31st St, Temple, TX 76508 USA
[2] Baylor Scott & White Hlth, Div Plast Surg, 2401 South 31st St, Temple, TX 76508 USA
关键词
Pedicled perforator flap; Propeller; Leg; Lower extremity; CLINICAL-APPLICATION; PERFORATOR FLAPS; VASCULAR ANATOMY; ARTERY; PERFORASOMES; DEFECTS; DISTAL; SAFE; FLOW;
D O I
10.1016/j.cps.2021.01.002
中图分类号
R61 [外科手术学];
学科分类号
摘要
Propeller flaps represent an outstanding alternative to conventional pedicled and free flap options in lower extremity reconstruction, offering significant advantages over the latter. An understanding of the perforasome concept, hot and cold perforator locations, and basic flap design enable the surgeon to readily harvest flaps based on any clinically relevant perforator in freestyle fashion. The purpose of this article is to review fundamentals of propeller flap design and harvest in the lower extremity and discuss reconstructive strategies by level of injury. © 2021 Elsevier Inc.
引用
收藏
页码:173 / 181
页数:9
相关论文
共 30 条
  • [1] FREE VERSUS PERFORATOR-PEDICLED PROPELLER FLAPS IN LOWER EXTREMITY RECONSTRUCTION: WHAT IS THE SAFEST COVERAGE? A META-ANALYSIS
    Bekara, Farid
    Herlin, Christian
    Somda, Serge
    De Runz, Antoine
    Grolleau, Jean Louis
    Chaput, Benoit
    [J]. MICROSURGERY, 2018, 38 (01) : 109 - 119
  • [2] Peroneal artery perforator flap for the treatment of chronic lower extremity wounds
    Cheng, Liang
    Yang, Xiaqing
    Chen, Tingxiang
    Li, Zhijie
    [J]. JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2017, 12
  • [3] Technical Tips for Safe Perforator Vessel Dissection Applicable to All Perforator Flaps
    Dancey, Anne
    Blondeel, Phillip N.
    [J]. CLINICS IN PLASTIC SURGERY, 2010, 37 (04) : 593 - +
  • [4] Pedicled-Perforator (Propeller) Flaps in Lower Extremity Defects: A Systematic Review
    Gir, Phanette
    Cheng, Angela
    Oni, Georgette
    Mojallal, Ali
    Saint-Cyr, Michel
    [J]. JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2012, 28 (09) : 595 - 601
  • [5] Evaluation of the Intraoperative Blood Flow of Pedicled Perforator Flaps Using Indocyanine Green-fluorescence Angiography
    Jakubietz, Rafael G.
    Schmidt, Karsten
    Bernuth, Silvia
    Meffert, Rainer H.
    Jakubietz, Michael G.
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN, 2019, 7 (09)
  • [6] THE VASCULATURE AND CLINICAL-APPLICATION OF THE POSTERIOR TIBIAL PERFORATOR-BASED FLAP
    KOSHIMA, I
    MORIGUCHI, T
    OHTA, S
    HAMANAKA, T
    INOUE, T
    IKEDA, A
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 1992, 90 (04) : 643 - 649
  • [7] Study of the Impact of the Location of a Perforator in the Perfusion of a Perforator Flap: The Concept of "Angle of Perfusion"
    Laungani, Alexis T.
    Christner, Jodie
    Primus, Jason A.
    Lachman, Nirusha
    Ballman, Karla V.
    Mohan, Anita
    Saint-Cyr, Michel
    [J]. JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2017, 33 (01) : 49 - 58
  • [8] Freestyle Pedicle Perforator Flaps: Clinical Results and Vascular Anatomy
    Lecours, Catherine
    Saint-Cyr, Michel
    Wong, Corrine
    Bernier, Christina
    Mailhot, Elizabeth
    Tardif, Michelle
    Chollet, Andre
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2010, 126 (05) : 1588 - 1602
  • [9] Timing of Microsurgical Reconstruction in Lower Extremity Trauma: An Update of the Godina Paradigm
    Lee, Z-Hye
    Stranix, John T.
    Rifkin, William J.
    Daar, David A.
    Anzai, Lavinia
    Ceradini, Daniel J.
    Thanik, Vishal
    Saadeh, Pierre B.
    Levine, Jamie P.
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2019, 144 (03) : 759 - 767
  • [10] Medial Sural Artery Perforator Flap for Leg and Knee Coverage Extended Skin Paddle With 2 Perforators
    Luca-Pozner, Vlad
    Delgove, Anais
    Kerfant, Nathalie
    Karra, Amir
    Herlin, Christian
    Chaput, Benoit
    [J]. ANNALS OF PLASTIC SURGERY, 2020, 85 (06) : 650 - 655