Reconstruction of limb soft-tissue defects: using pedicle perforator flaps with preservation of major vessels, a report of 45 cases

Sananpanich, Kanit; Tu, Yuan Kun; Kraisarin, Jirachart; Chalidapong, Preecha

doi:10.1016/j.injury.2008.08.032

Cited by 33 publications

(21 citation statements)

References 49 publications

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“…Today, many reconstructive surgeons around the world have adopted perforator flaps, whether free or pedicled. 2 A better understanding of the vascular anatomy paralleled this evolution in flap design. Taylor and Palmer 3 described the static vascular territories of each source vessel and their perforators, the angiosomes.…”

mentioning

confidence: 99%

Freestyle Pedicle Perforator Flaps: Clinical Results and Vascular Anatomy

Lecours

Saint‐Cyr

Wong

et al. 2010

Plastic and Reconstructive Surgery

124

129

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mentioning

confidence: 99%

Freestyle Pedicle Perforator Flaps: Clinical Results and Vascular Anatomy

Lecours

Saint‐Cyr

Wong

et al. 2010

Plastic and Reconstructive Surgery

124

129

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“…7 A perforator-based propeller flap can be designed on any perforator, and a number of articles present the usefulness of individual perforator-based flaps for upper limb reconstruction. 18,19,30,[35][36][37][38][39][40][41][42][43][44][45][46][47][48] The elbow, wrist, and hand represent the 3 areas in the upper limb that usually require flap reconstruction. The perforator flaps available for elbow reconstruction include 5 flaps: (1) inferior ulnar collateral artery perforator flap (IUCAP), 6,37,38 (2) SUCAP, 6,39,40 (3) BAP, 6,49,50 (4) RRAP, 6,51-53 and (5) RCAP.…”

Section: Discussionmentioning

confidence: 99%

“…Although there are a large number of reports of using perforatorbased propeller flaps in lower limb reconstruction, the application of this technique in the upper extremity is infrequently reported. 18,19 We present the results of using perforator-based propeller flaps for upper limb soft tissue reconstruction and suggest a treatment strat- egy based on location of soft tissue defect and perforator anatomy.…”

mentioning

confidence: 99%

Clinical Applications of Perforator-Based Propeller Flaps in Upper Limb Soft Tissue Reconstruction

Ono

Sebastin

Yazaki

et al. 2011

The Journal of Hand Surgery

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“…[23] We present our experience of free style perforator-based propeller flaps for upper limb soft tissue reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Free style perforator based propeller flaps: Simple solutions for upper extremity reconstruction!

Panse¹,

Sahasrabudhe²

2014

Indian J Plast Surg

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Background:The introduction of perforator flaps by Koshima et al. was met with much animosity in the plastic surgery fraternity. The safety concerns of these flaps following the intentional twist of the perforators have prevented widespread adoption of this technique. Use of perforator based propeller flaps in the lower extremity is gradually on the rise, but their use in upper extremity reconstruction is infrequently reported, especially in the Indian subcontinent.Materials and Methods:We present a retrospective series of 63 free style perforator flaps used for soft tissue reconstruction of the upper extremity from November 2008 to June 2013. Flaps were performed by a single surgeon for various locations and indications over the upper extremity. Patient demographics, surgical indication, defect features, complications and clinical outcome are evaluated and presented as an uncontrolled case series.Results:63 free style perforator based propeller flaps were used for soft tissue reconstruction of 62 patients for the upper extremity from November 2008 to June 2013. Of the 63 flaps, 31 flaps were performed for trauma, 30 for post burn sequel, and two for post snake bite defects. We encountered flap necrosis in 8 flaps, of which there was complete necrosis in 4 flaps, and partial necrosis in four flaps. Of these 8 flaps, 7 needed a secondary procedure, and one healed secondarily. Although we had a failure rate of 12-13%, most of our failures were in the early part of the series indicative of a learning curve associated with the flap.Conclusion:Free style perforator based propeller flaps are a reliable option for coverage of small to moderate sized defects.Level of Evidence:Therapeutic IV.

show abstract

Reconstruction of limb soft-tissue defects: using pedicle perforator flaps with preservation of major vessels, a report of 45 cases

Cited by 33 publications

References 49 publications

Freestyle Pedicle Perforator Flaps: Clinical Results and Vascular Anatomy

Freestyle Pedicle Perforator Flaps: Clinical Results and Vascular Anatomy

Clinical Applications of Perforator-Based Propeller Flaps in Upper Limb Soft Tissue Reconstruction

Free style perforator based propeller flaps: Simple solutions for upper extremity reconstruction!

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