The perforator pedicled propeller (PPP) flap method: report of two cases

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Microsurgery Alternatives

Background:

• Perforator flaps are thin free-tissue transfers that minimize donor site morbidity.
• Propeller flaps utilize surrounding healthy skin for reconstruction.
• The study introduces perforator pedicled propeller (PPP) flaps, combining these techniques.

Observation:

• Two cases demonstrate the application of PPP flaps: a sacral pressure ulcer reconstruction using a superior gluteal artery PPP flap and an elbow fracture defect covered by a deep brachial artery PPP flap.
• The flaps were successfully rotated to cover the respective defects.

Findings:

• PPP flaps are effective for reconstructing postburn scar contractures and various other wounds, including pressure ulcers and open fractures.
• This technique eliminates the need for microsurgery.
• PPP flaps can be classified into central axis (90-degree rotation) and acentric axis (180-degree rotation) types, both being easy to harvest.

Implications:

• PPP flaps provide a valuable, less invasive alternative for reconstructive surgery.
• The classification of PPP flaps aids in tailoring their use for specific rotational requirements.
• This method simplifies wound repair, potentially improving patient outcomes and reducing surgical complexity.