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KMID : 0603120120210020111
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Journal of the Korean Microsurgical Society
2012 Volume.21 No. 2 p.111 ~ p.117
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Perforator-Based Propeller Flap for Lower Extremity Reconstruction
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Huh Sung-Woo
Bae Jae-Ho
Song Joo-Hyoun
Lee Joo-Yup
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Abstract
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Purpose: To report the clinical results of the perforated-based propeller flap for lower extremity soft tissue reconstruction.
Materials and Methods: Between January 2010 and June 2012, a total of 16 defects in the lower extremities were covered with perforator-based propeller flaps. Retrospective data for location and size of the defect, flap dimension, pedicle artery, pedicle rotation, complications were obtained.
Results: Peroneal artery-based perforator flap were used in eleven cases, posterior tibial artery-based perforator flap in two cases, anterior tibial
artery-based perforator flap in one case and medial plantar artery-based perforator flap in two cases. The average size of the flaps was 63 cm2. The marginal skin necrosis of the flaps as a complication was developed in two cases, one of which was covered with splitthickness skin graft. There were no functional deficits from the donor site.
Conclusion: For the reconstruction of lower extremities, the perforator-based propeller flap could be a reasonable alternative as it is a simple, safe and versatile technique.
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KEYWORD
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Lower extremity reconstruction, Perforator flap, Propeller flap
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