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Published on: December 5, 2025
[Design of flap using eight-point-location method and clinical application].
Qichao Li1, Jiping Zhang, Jiangtao Wang
1Department of Hand Surgery, People's Hospital of Renqiu City, Renqiu Hebei 062550, PR China. liqichaoqxj@sohu.com
Summary
A new eight-point flap design method proved effective for treating skin and soft tissue defects. This simple technique ensures precise flap dimensions, leading to successful clinical applications and satisfactory patient outcomes.
Area of Science:
- Reconstructive surgery
- Plastic surgery
- Surgical techniques
Background:
- Skin and soft tissue defects pose significant reconstructive challenges.
- Effective flap design is crucial for successful wound closure and functional restoration.
- Existing methods may lack precision or simplicity in flap design.
Purpose of the Study:
- To introduce a novel eight-point-location method for flap design.
- To evaluate the clinical feasibility and efficacy of this new flap design technique.
- To assess the outcomes of treating skin and soft tissue defects using this method.
Main Methods:
- A cohort of 89 patients with diverse skin and soft tissue defects were treated between 2006 and 2009.
- The eight-point-location method involved precise measurements to define flap dimensions, expanded by 5%-10%.
- Flaps (pedicle and free) were utilized for reconstruction, with donor sites managed by direct closure or skin grafting.
Main Results:
- All flaps were successfully designed and transplanted, demonstrating appropriate tension and survival.
- Wounds and donor sites healed by first intention, with no reported complications during follow-up (mean 20 months).
- Flap texture, appearance, flexibility, and function were satisfactory, with good sensory restoration (S3-S4) in pedicle flaps.
Conclusions:
- The eight-point-location method is an ideal and simple approach for flap design.
- This technique allows for precise flap dimensions, contributing to successful reconstructive outcomes.
- The method is clinically feasible and effective for managing skin and soft tissue defects.
