n South African Journal of Surgery - Propeller flaps for lower-limb trauma : plastic surgery
|Article Title||Propeller flaps for lower-limb trauma : plastic surgery|
|© Publisher:||Medpharm Publications|
|Journal||South African Journal of Surgery|
|Affiliations||1 Groote Schuur Hospital, 2 Groote Schuur Hospital, 3 University of Cape Town and 4 University of Cape Town|
|Publication Date||Nov 2014|
|Pages||105 - 107|
The propeller flap has become a versatile and important component in our reconstructive algorithm following complex lower limb trauma. First described by Hyakusoku in 1991, it has since been adapted and modified by Hallock and Teo. This article outlines our experience specifically with perforator pedicled propeller flaps (as per the Tokyo consensus) for traumatic defects of the leg. In this procedure, the reconstructive surgeon skeletonises a single perforator and rotates the skin island on its axis between 90° and 180° to close the defect. The minor blade of the propeller may be designed to close the donor defect completely for the 180° version. The propeller flap has the advantages of local flaps (reliability, contour, texture, 'like-with-like') with additional versatility of design and donor site management, and requires minimal expertise and operative time.
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