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Perforator Based Propeller Flaps in Limb Reconstructive Surgery: Clinical Application and Literature Review

The reconstruction of loss of substance due to trauma or oncological excision may have relevant functional and aesthetic implications. We report our experience in twenty-one cases of propeller flaps for the treatment of loss of substance of the upper and lower limbs. The etiology of defect was tumor...

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Autores principales: Artiaco, Stefano, Battiston, Bruno, Colzani, Giulia, Bianchi, Pasquale, Scaravilli, Gabriele, Boux, Elena, Tos, Pierluigi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4163455/
https://www.ncbi.nlm.nih.gov/pubmed/25250327
http://dx.doi.org/10.1155/2014/690649
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author Artiaco, Stefano
Battiston, Bruno
Colzani, Giulia
Bianchi, Pasquale
Scaravilli, Gabriele
Boux, Elena
Tos, Pierluigi
author_facet Artiaco, Stefano
Battiston, Bruno
Colzani, Giulia
Bianchi, Pasquale
Scaravilli, Gabriele
Boux, Elena
Tos, Pierluigi
author_sort Artiaco, Stefano
collection PubMed
description The reconstruction of loss of substance due to trauma or oncological excision may have relevant functional and aesthetic implications. We report our experience in twenty-one cases of propeller flaps for the treatment of loss of substance of the upper and lower limbs. The etiology of defect was tumor excision in nine cases, trauma in seven cases, surgical wound complications in four cases, and chronic osteomyelitis in one case. Clinical results were favorable in most cases and eighteen flaps survived. We observed an overall complication rate of 33% with four cases of superficial epidermolysis that spontaneously healed and three cases of partial flap loss ranging from 10 to 50% that required surgical revision by means of skin graft (two cases) or ALT free flap (one case). Propeller flap harvesting requires great care and experience, and potential complications may occur even in expert hands. When indicated by the characteristic of the defect, these flaps can be a useful surgical option for the treatment of loss of substance of upper and lower limbs.
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spelling pubmed-41634552014-09-23 Perforator Based Propeller Flaps in Limb Reconstructive Surgery: Clinical Application and Literature Review Artiaco, Stefano Battiston, Bruno Colzani, Giulia Bianchi, Pasquale Scaravilli, Gabriele Boux, Elena Tos, Pierluigi Biomed Res Int Clinical Study The reconstruction of loss of substance due to trauma or oncological excision may have relevant functional and aesthetic implications. We report our experience in twenty-one cases of propeller flaps for the treatment of loss of substance of the upper and lower limbs. The etiology of defect was tumor excision in nine cases, trauma in seven cases, surgical wound complications in four cases, and chronic osteomyelitis in one case. Clinical results were favorable in most cases and eighteen flaps survived. We observed an overall complication rate of 33% with four cases of superficial epidermolysis that spontaneously healed and three cases of partial flap loss ranging from 10 to 50% that required surgical revision by means of skin graft (two cases) or ALT free flap (one case). Propeller flap harvesting requires great care and experience, and potential complications may occur even in expert hands. When indicated by the characteristic of the defect, these flaps can be a useful surgical option for the treatment of loss of substance of upper and lower limbs. Hindawi Publishing Corporation 2014 2014-08-27 /pmc/articles/PMC4163455/ /pubmed/25250327 http://dx.doi.org/10.1155/2014/690649 Text en Copyright © 2014 Stefano Artiaco et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Artiaco, Stefano
Battiston, Bruno
Colzani, Giulia
Bianchi, Pasquale
Scaravilli, Gabriele
Boux, Elena
Tos, Pierluigi
Perforator Based Propeller Flaps in Limb Reconstructive Surgery: Clinical Application and Literature Review
title Perforator Based Propeller Flaps in Limb Reconstructive Surgery: Clinical Application and Literature Review
title_full Perforator Based Propeller Flaps in Limb Reconstructive Surgery: Clinical Application and Literature Review
title_fullStr Perforator Based Propeller Flaps in Limb Reconstructive Surgery: Clinical Application and Literature Review
title_full_unstemmed Perforator Based Propeller Flaps in Limb Reconstructive Surgery: Clinical Application and Literature Review
title_short Perforator Based Propeller Flaps in Limb Reconstructive Surgery: Clinical Application and Literature Review
title_sort perforator based propeller flaps in limb reconstructive surgery: clinical application and literature review
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4163455/
https://www.ncbi.nlm.nih.gov/pubmed/25250327
http://dx.doi.org/10.1155/2014/690649
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