A Review of Pedicled Perforator Flaps for Reconstruction of the Soft Tissue Defects of the Leg and Foot
| Autor: | Andre E. J. Cheah, O-Wern Low, Sandeep J. Sebastin |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
lcsh:Surgery leg defects Review Article 030230 surgery Resection 03 medical and health sciences 0302 clinical medicine pedicled flap medicine propeller flap foot defects business.industry Soft tissue Flap failure 030208 emergency & critical care medicine lcsh:RD1-811 Pedicled Flap Review article Surgery Tissue transfer perforator flap business Perforator flaps Foot (unit) |
| Zdroj: | Indian Journal of Plastic Surgery, Vol 52, Iss 01, Pp 026-036 (2019) Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India |
| ISSN: | 1998-376X 0970-0358 |
| DOI: | 10.1055/s-0039-1688103 |
| Popis: | Lower extremity soft tissue defects frequently result from high-energy trauma or oncological resection. The lack of suitable muscle flap options for the distal leg and foot makes defects in these locations especially challenging to reconstruct and free tissue transfer is commonly used. Another option that has become more popular in the past two decades are pedicled perforator flaps. Based on a thorough literature review and the authors’ experience on leg perforator flaps for over a decade, this article presents a historical review, the anatomical basis of common perforator flaps of the leg and foot, patient selection, wound selection, perforator selection, flap design, surgical techniques, refinements, and postoperative care. A review of the clinical outcomes and complications of these flaps was also performed and was noted to be comparable to the outcomes of free tissue transfer with significantly lower total flap failure rate. It is hoped that this review will assist surgeons in the formulation of a comprehensive step-by-step guide in performing pedicled perforator flap reconstruction of the lower extremity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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