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Perforator Flaps for Reconstruction of Lower Limb Defects
BACKGROUND: 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 t...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Iranian Society for Plastic Surgeons
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5339613/ https://www.ncbi.nlm.nih.gov/pubmed/28289617 |
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author | Yasir, Mir Wani, Adil Hafeez Zargar, Haroon Rashid |
author_facet | Yasir, Mir Wani, Adil Hafeez Zargar, Haroon Rashid |
author_sort | Yasir, Mir |
collection | PubMed |
description | BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. |
format | Online Article Text |
id | pubmed-5339613 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Iranian Society for Plastic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-53396132017-03-13 Perforator Flaps for Reconstruction of Lower Limb Defects Yasir, Mir Wani, Adil Hafeez Zargar, Haroon Rashid World J Plast Surg Original Article BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. Iranian Society for Plastic Surgeons 2017-01 /pmc/articles/PMC5339613/ /pubmed/28289617 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Yasir, Mir Wani, Adil Hafeez Zargar, Haroon Rashid Perforator Flaps for Reconstruction of Lower Limb Defects |
title | Perforator Flaps for Reconstruction of Lower Limb Defects |
title_full | Perforator Flaps for Reconstruction of Lower Limb Defects |
title_fullStr | Perforator Flaps for Reconstruction of Lower Limb Defects |
title_full_unstemmed | Perforator Flaps for Reconstruction of Lower Limb Defects |
title_short | Perforator Flaps for Reconstruction of Lower Limb Defects |
title_sort | perforator flaps for reconstruction of lower limb defects |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5339613/ https://www.ncbi.nlm.nih.gov/pubmed/28289617 |
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