Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
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Perforator-Based Propeller Flap for Lower Extremity Reconstruction

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  • Huh, Sung-Woo (Department of Orthopedic Surgery, St. Vincent's Hospital The Catholic University of Korea) ;
  • Bae, Jae-Ho (Department of Orthopedic Surgery, St. Vincent's Hospital The Catholic University of Korea) ;
  • Song, Joo-Hyoun (Department of Orthopedic Surgery, St. Vincent's Hospital The Catholic University of Korea) ;
  • Lee, Joo-Yup (Department of Orthopedic Surgery, St. Vincent's Hospital The Catholic University of Korea)
  • 허성우 (가톨릭대학교 의과대학 성빈센트병원 정형외과) ;
  • 배재호 (가톨릭대학교 의과대학 성빈센트병원 정형외과) ;
  • 송주현 (가톨릭대학교 의과대학 성빈센트병원 정형외과) ;
  • 이주엽 (가톨릭대학교 의과대학 성빈센트병원 정형외과)
  • Published : 2012.11.30
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Abstract

Purpose: To report the clinical results of the perforated-based propeller flap for lower extremity soft tissue reconstruction. Materials and Methods: Between January 2010 and June 2012, a total of 16 defects in the lower extremities were covered with perforator-based propeller flaps. Retrospective data for location and size of the defect, flap dimension, pedicle artery, pedicle rotation, complications were obtained. Results: Peroneal artery-based perforator flap were used in eleven cases, posterior tibial artery-based perforator flap in two cases, anterior tibial artery-based perforator flap in one case and medial plantar artery-based perforator flap in two cases. The average size of the flaps was $63cm^2$. The marginal skin necrosis of the flaps as a complication was developed in two cases, one of which was covered with split-thickness skin graft. There were no functional deficits from the donor site. Conclusion: For the reconstruction of lower extremities, the perforator-based propeller flap could be a reasonable alternative as it is a simple, safe and versatile technique.

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