Skin Coverage of the Middle-Distal Segment of the Leg With a Pedicled Perforator Flap

Rezende, Marcelo Rosa de; Rabelo, Neylor Teofilo Araújo; Wei, Teng Hsiang; Mattar, Rames; Paula, Emygdio Leomil de; Zumiotti, Arnaldo Valdir

doi:10.1097/bot.0b013e3181bee36e

Cited by 20 publications

(11 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A total of 1,802 references of free flap were identified and we included 36 studies that discussed 1,226 free flaps used to treat 1,226 patients (Table ). For the pedicled‐propeller flap, a total of 616 references was identified and we included 19 studies . The 19 articles selected discussed 302 pedicled‐propeller flaps performed in 302 patients (Table ).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Free versus perforator‐pedicled propeller flaps in lower extremity reconstruction: What is the safest coverage? A meta‐analysis

Bekara

Herlin

Somda³

et al. 2016

Microsurgery

104

123

View full text Add to dashboard Cite

In the lower limb the complications are not rare and many teams consider the free flaps to be safer. In this meta-analysis we provide evidence that failure and overall complications rate of perforator propeller flaps are comparable with free flaps. Although, partial necrosis is significantly higher for pedicled-propeller flaps than free flaps, in reality the success of coverage appears similar. © 2016 Wiley Periodicals, Inc. Microsurgery, 38:109-119, 2018.

show abstract

Section: Resultsmentioning

confidence: 99%

“…For the pedicled-propeller flap, a total of 616 references was identified and we included 19 studies. [49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67] The 19 articles selected discussed 302 pedicled-propeller flaps performed in 302 patients ( Table 2).…”

Section: Statistical Analysesmentioning

confidence: 99%

Free versus perforator‐pedicled propeller flaps in lower extremity reconstruction: What is the safest coverage? A meta‐analysis

Bekara

Herlin

Somda³

et al. 2016

Microsurgery

104

123

View full text Add to dashboard Cite

show abstract

“…In addition to the distal leg and foot coverage, perforator flaps have been increasingly used in the coverage of mid-and proximal defects of the leg, for which local muscle flaps or free flaps were once used (9,12,15). In 1 patient, we used both a posterior tibial artery perforator flap and a peroneal artery posterior perforator adipose flap to cover a large mid-tibial defect, because no healthy recipient vessels were available for free tissue transfer (Fig.…”

Section: Discussionmentioning

confidence: 97%

Versatility of the Perforator-Based Adipose, Adipofascial, and Fasciocutaneous Flaps in Reconstruction of Distal Leg and Foot Defects

Acartürk

Tunc

Acar

2016

The Journal of Foot and Ankle Surgery

View full text Add to dashboard Cite

“…Estes estudos têm utilidade na programação de retalhos, principalmente para cobertura de 1/3 distal do membro inferior 14 . As demarcações podem ser de diferentes formas, de avanço e de rotação através de seu ponto pivô, permitindo a confecção de retalho tipo hélice (propeller) com rotação de 180°, alcançando áreas mais distais por meio da ampliação dos limites proximais, que é ainda ponto de controvérsias 15 . As indicações são sobrepostas àquelas do retalho sural, exceto que este pode ser adicionado por componente muscular para cobertura de área de calcâneo, oferecendo maior espessura 16 .…”

Section: Discussionunclassified

Retalho supramaleolar de fluxo reverso: aplicações clínicas

Batista

2011

Rev. Bras. Cir. Plást. (Impr.)

View full text Add to dashboard Cite

RESUMOAs regiões distais do membro inferior, incluindo o terço inferior da perna e os pés, são áreas muito propensas a perda de partes moles por trauma e lesões tróficas. A posição anterior da tíbia, com sua cobertura pouco espessa e vulnerável, além da grande quantidade de tendões, que não podem permanecer expostos, exigem uma cobertura cutânea rápida e, ao mesmo tempo, complexa. A situação em relação à direção do fluxo sanguíneo, a escassez de ventres musculares para retalhos e pele pouco elástica para retalhos randomizados viá-veis complicam esta situação. No passado, retalhos com transferência intermediária foram utilizados; assim como os de perna cruzada, "cross leg", ainda são, com desvantagens importantes: dependem de mais de um tempo cirúrgico, geram muito desconforto ao paciente e nem sempre são eficazes. A microcirurgia tornou-se uma opção que contribui muito para cobertura de lesões neste aspecto, porém, depende de equipe com treinamento e material especializado. As áreas doadoras são maiores, podem causar relativo déficit funcional e utilizam troncos vasculares maiores. Os retalhos fasciocutâneos de fluxo reverso podem contribuir para a cobertura de lesões pequenas e médias nesta localização, com sequelas funcionais e estéticas menores; e menor tempo cirúrgico. Constitui eficiente opção cirúrgica por sua facilidade, segurança e versatilidade. Neste estudo, temos o objetivo demonstrar o retalho supramaleolar de fluxo reverso utilizado em 4 casos, com aplicações em situações diferentes, com resultados satisfatórios de fácil execução e reprodução.Descritores: Retalhos cirúrgicos. Traumatismos da perna. Traumatismos do tornozelo. Extremidade inferior/cirurgia. ABSTRACTThe regions of the distal lower limb, including the 1/3 lower leg and foot areas are very prone to loss of soft tissue for trauma and ulcerations. The anterior position of the tibia, with its coverage slightly thick and vulnerable, besides the large amount of tendons, which can not remain exposed, requiring skin coverage quickly and simultaneously complex. The situation with respect to the direction of blood flow, lack of muscle bellies for flaps and skin flaps for inelastic randomized viable complicates this situation. In the past, with intermediate transfer flaps were used, as the leg cross, are still with major drawbacks: they rely on more than one occasion, generate a lot of discomfort to the patient and are not always effective. Microsurgery has become an option that helps a lot to cover injuries this point, however, depends on the team with training and specialized equipment. Donor areas are larger, can cause functional impairment and use on major vascular trunks. The fasciocutaneous flaps of reverse flow can contribute to the coverage of small and medium lesions in this location, with minor aesthetic damage and functional and less time for surgery. It constitutes effective surgical option for its ease, safety and versatility. In this study we demonstrate supramalleolous flap of reverse flow used in 4 cases, with applications in diffe...

show abstract

Skin Coverage of the Middle-Distal Segment of the Leg With a Pedicled Perforator Flap

Abstract: On the basis of these results, it is concluded that perforating flaps are a good choice of treatment for skin losses, especially in the distal segment of the leg, and could be an alternative option for the use of free microsurgical flaps.

Cited by 20 publications

References 23 publications

Free versus perforator‐pedicled propeller flaps in lower extremity reconstruction: What is the safest coverage? A meta‐analysis

Free versus perforator‐pedicled propeller flaps in lower extremity reconstruction: What is the safest coverage? A meta‐analysis

Versatility of the Perforator-Based Adipose, Adipofascial, and Fasciocutaneous Flaps in Reconstruction of Distal Leg and Foot Defects

Retalho supramaleolar de fluxo reverso: aplicações clínicas

Contact Info

Product

Resources

About