Local perforator island flaps in post-traumatic reconstruction of middle third of the leg
Jerry R. John, Ramesh Kumar Sharma
Keywords :
Trauma, Open fracture, Tibia, Perforator island flap, Lower extremity, Tissue defect
Citation Information :
John JR, Sharma RK. Local perforator island flaps in post-traumatic reconstruction of middle third of the leg. 2014; 9 (1):59-61.
Perforator flaps have been introduced for coverage of local and distant defects. Various designs of this flap are possible, but their role in the setting of trauma is debated. We report that it is possible to raise these flaps in cases of post-traumatic lower limb reconstruction with good results. Consideration must be given to the type of movement that is planned vis-a-vis the number of perforators identified.
Gustilo RB, Mendoza RM, Williams DN (1984) Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma 24:742-746
Kasabian AK, Karp NS (2007) Lower-extremity reconstruction. In: Thorne CH et al (eds) Grabb and Smith's plastic surgery. Lippincott Williams & Wilkins, Philadelphia, p 683
Manchot C (1983) The cutaneous arteries of the human body. Springer, New York
Salmon M (1994) Arterial anastomotic pathways of the extremities. In: Taylor GI, Razaboni RM (eds) Book 2. Quality Medical Publishing, St. Louis
Taylor GI, Pan WR (1998) Angiosomes of the Leg: anatomic study and clinical implications. Plast Reconstr Surg 102:599-616
Blondeel PN, Van Landuyt KH, Monstrey SJ, Hamdi M, Matton GE, Allen RJ, Dupin C, Feller AM, Koshima I, Kostakoglu N, Wei FC (2003) The “Gent” consensus on perforator flap terminology: preliminary definitions. Plast Reconstr Surg 112(5): 1378-1383
Pignatti M, Ogawa R, Hallock GG, Mateev M, Georgescu AV, Balakrishnan G, Ono S, Cubison TCS, D'Arpa S, Koshima I, Hyakusoku H (2011) The, “Tokyo” consensus on propeller flaps. Plast Reconstr Surg 127:716-722
Dancey A, Blondeel PN (2010) Technical tips for safe perforator vessel dissection applicable to all perforator flaps. Clin Plast Surg 37:593-606
Venkataramakrishnan V, Mohan D, Villafane O (1998) Perforator based V-Y advancement flaps in the leg. Br J Plast Surg 51(6):431-435
Niranjan NS, Price RD, Govilkar P (2000) Fascial feeder and perforator-based V-Y advancement flaps in the reconstruction of lower limb defects. Br J Plast Surg 53(8):679-689
Wong CH, Cui F, Tan BK, Liu Z, Lee HP, Lu C, Foo CL, Song C (2007) Nonlinear finite element simulations to elucidate the determinants of perforator patency in propeller flaps. Ann Plast Surg 59(6):672-678