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Articles linked to this work by shared authors, journal, and citation graph.

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Same author

Contribution to surgical education: Development of a website dedicated to perforator flaps of the upper limb.

Annales de chirurgie plastique et esthetique·2026
Same author

Phytophotodermatitis: An under-recognized diagnostic pitfall in chemical burns.

Annales de chirurgie plastique et esthetique·2026
Same author

Pyogenic flexor tenosynovitis complicated by necrotizing soft tissue infection in postpartum: A case report.

Annales de chirurgie plastique et esthetique·2026
Same author

Retraction notice to "Reconstruction of a septic femoral triangle fistula with a pedicled DIEP flap: A case report and mini-review" (Reconstruction d'une fistule septique du triangle fémoral par un lambeau pédiculé de DIEP : cas clinique et mini-revue de la littérature) [Ann Chir Plast Esthet 2024;69(3):233-38].

Annales de chirurgie plastique et esthetique·2026
Same author

[The role of perforator flaps in the management of pelvic-trochanteric pressure ulcers. Literature review and proposal of a treatment algorithm].

Annales de chirurgie plastique et esthetique·2025
Same author

DIEP breast reconstruction in a patient with an unknown Raynaud's phenomenon: A reflection on microvascular disorders and free flaps.

Annales de chirurgie plastique et esthetique·2025

Related Experiment Video

Updated: Mar 14, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
07:57

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

Published on: December 5, 2025

365

Perforator-based propeller flaps reliability in upper extremity soft tissue reconstruction: a systematic review.

J Vitse1, F Bekara1, N Bertheuil2

  • 11 Departments of Plastic and Reconstructive Surgery, Burns and Wound Healing Units, CHRU Lapeyronie, Montpellier, France.

The Journal of Hand Surgery, European Volume
|September 28, 2016
PubMed
Summary

Propeller flaps for upper extremity soft tissue defects show promise, but current data is limited. This review found low complication rates, suggesting safety with experience.

Keywords:
Propeller flapsreliabilitysystematic reviewupper extremity

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • Limited data exists on the safety and efficacy of upper extremity propeller flaps.
  • Assessing the safety of this reconstructive technique is challenging due to sparse evidence.

Purpose of the Study:

  • To systematically review the current literature on upper extremity propeller flaps.
  • To evaluate the safety and complication rates of this surgical technique.

Main Methods:

  • A systematic literature review was performed using PubMed, EMBASE, and Cochrane Library.
  • The review included ten articles analyzing 117 perforator-based propeller flaps.
  • Data selection followed Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.

Main Results:

  • The majority of flaps were utilized for the hand, distal wrist, and elbow.
  • Radial artery perforator and ulnar artery perforator flaps were most common.
  • Complication rates included 7% venous congestion and 3% complete necrosis, with no significant difference across flap sites.

Conclusions:

  • Perforator-based propeller flaps are a viable option for soft tissue defects in the upper extremities, including large defects.
  • The procedure demands surgical expertise and meticulous post-operative monitoring for optimal outcomes.
  • Further high-quality data is needed to fully establish the safety profile of these flaps.