Back to Search
Start Over
Propeller Flap for Complex Distal Leg Reconstruction: A Versatile Alternative when Reverse Sural Artery Flap is Not Feasible
- Source :
- Journal of Surgical Technique and Case Report, Journal of Surgical Technique and Case Report; Vol 7, No 1 (2015); 23-27
- Publication Year :
- 2015
- Publisher :
- Medknow Publications & Media Pvt Ltd, 2015.
-
Abstract
- Reverse sural artery fasciocutaneous flap has become a workhorse for the reconstruction of distal leg soft tissue defects. When its use is not feasible, perforator‑based propeller flap offers a better, easier, faster, and cheaper alternative to free flap. We present our experience with two men both aged 34 years who sustained Gustilo 3B injuries from gunshot. The donor area for reversed sural artery flap was involved in the injuries. They had early debridement, external fixation, and wound coverage with perforator‑based propeller flaps. The donor sites were covered with skin graft. All flaps survived. There were minor wound edge ulcers due to the pressure of positioning that did not affect flap survival and the ulcers healed with conservative management. Perforator‑based propeller flap is a versatile armamentarium for reconstruction of soft tissue defects of the distal leg in resource‑constrained settings, especially when the donor area for a reverse flow sural flap artery is involved in the injury.Key words: Flap, perforator flap, propeller flap, reconstruction
- Subjects :
- medicine.medical_specialty
Debridement
reconstruction
business.industry
medicine.medical_treatment
Propeller
Soft tissue
Case Report
Free flap
Flap
eye diseases
Surgery
External fixation
medicine.anatomical_structure
Sural artery flap
medicine
Flap, perforator flap, propeller flap, reconstruction
perforator flap
business
Wound edge
Artery
propeller flap
Subjects
Details
- Language :
- English
- ISSN :
- 09762825 and 20068808
- Volume :
- 7
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of Surgical Technique and Case Report
- Accession number :
- edsair.doi.dedup.....e14fdc7e80d5bf2a708c5905616caf6e