WORLD JOURNAL OF PLASTIC SURGERY
مجله جهانی جراحی پلاستیک
WJPS
Medical Sciences
http://wjps.ir
1
admin
2228-7914
2252-0724
8
10.61186/wjps
14
8888
13
en
jalali
1395
10
1
gregorian
2017
1
1
6
1
online
1
fulltext
en
Perforator Flaps for Reconstruction of Lower Limb Defects
عمومى
General
مقالات اصيل
Original Article
<p><strong>BACKGROUND</strong></p>
<p>Reconstruction of soft tissue defects in the lower third of the leg remains challenging. Anatomical constraints limit the local options available for complex defects especially lower third of leg. Local flaps based on perforator vessels are raising interest in reconstructive surgery of the limbs. We present our experience with perforator flaps for reconstruction of soft tissue defects in the lower limb.</p>
<p><strong>METHODS</strong></p>
<p>The study was carried prospectively and 23 patients with lower limb defects treated with various perforator flaps (both elective as well as emergency) were included in the study. A hand-held ultrasound Doppler was used preoperatively and intraoperatively to detect the perforator vessels.</p>
<p><strong>RESULTS</strong></p>
<p>Out of 23 patients, we witnessed partial flap loss in 1 and distal flap necrosis in 3 patients. Four patients had minor complications which included infection, wound dehiscence and congestion of flap.</p>
<p><strong>CONCLUSION</strong></p>
<p>Perforator flaps may represent a good alternative to the free flaps in the areas were other local reconstructive procedures are not possible. This is a versatile technique and with decreased donor site morbidity limited to a single body area. There is a specific like to like soft tissue replacement leading to a better cosmetic and reconstructive outcome. The main drawback of the perforator flaps however is the higher risk of venous congestion.</p>
<p></p>
Perforator flap, Propeller flap, Lower limb, Reconstruction
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81
http://wjps.ir/browse.php?a_code=A-10-192-1&slc_lang=en&sid=1
Mir
Yasir
drmiryasir@yahoo.co.in
10031947532846002974
10031947532846002974
Yes
SKIMS
Adil Hafeez
Wani
adil_w@rediffmail.com
10031947532846002975
10031947532846002975
No
SKIMS
Haroon Rashid
Zargar
hrzargar@yahoo.co.in
10031947532846002976
10031947532846002976
No
SKIMS