Thinning: The Difference between Free and Propeller Perforator Flaps

Thinning: The Difference between Free and Propeller Perforator Flaps

into a short “handle”. This was a full-thickness skin bridge at the pivot point where the proximal flap was rotated 180 degrees downward towards the recipient site. The bridge acted to offer cutaneous and subcutaneous continuity and maintained an intact subdermal plexus to serve as additional channel for venous drainage [2]. After the flap was transposed to the knee, a vein graft was utilised t...

Lower limb perforator propeller flaps - clinical applications.

BACKGROUND A great variety of flaps have been used in lower limb reconstructive surgery: random pattern flaps, axial flaps and free microsurgical transfers with many variants. After further research on the cutaneous blood supply and improvement of microsurgical techniques, perforator propeller flaps began to be studied and used. MATERIAL AND METHOD A propeller flap is defined as an insular fl...

Perforator Relocation in Free Style Local Perforator Flaps

Local perforator flaps have evolved over the time to provide complete and stable coverage of soft tissue defects. Technical advances and experience with the perforator flaps have allowed the harvest of local perforator flaps in a free style manner by offering greater freedom in flap selection. We have proposed a technical modification in the harvest of a perforator flap by relo-cating the perfo...

Ergonomics and Biogeometry of Perforator/Propeller Flaps in the Lower Limb Reconstruction

perforator relocation in free style local perforator flaps

local perforator flaps have evolved over the time to provide complete and stable coverage of soft tissue defects. technical advances and experience with the perforator flaps have allowed the harvest of local perforator flaps in a free style manner by offering greater freedom in flap selection. we have proposed a technical modification in the harvest of a perforator flap by relo-cating the perfo...