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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Flail Chest-I01:24

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
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Related Experiment Video

Updated: Feb 23, 2026

Fabrication of Engineered Vascular Flaps Using 3D Printing Technologies
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Propeller flaps for lower-limb trauma.

A D Rogers1, G Dos Passos1

  • 1Division of Plastic, Reconstructive and Maxillofacial Surgery, Department of Surgery, Groote Schuur Hospital, Cape Town, and Faculty of Health Sciences, University of Cape Town, South Africa.

South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
|September 7, 2017
PubMed
Summary
This summary is machine-generated.

Propeller flaps are a versatile reconstructive option for lower limb trauma. This technique uses a perforator pedicled propeller flap to effectively close traumatic leg defects with local tissue.

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Area of Science:

  • Plastic Surgery
  • Orthopedic Surgery
  • Trauma Reconstruction

Background:

  • Complex lower limb trauma often requires advanced reconstructive techniques.
  • The propeller flap, first described by Hyakusoku, has been refined for reconstructive surgery.
  • Perforator pedicled propeller flaps are increasingly utilized for traumatic defects.

Purpose of the Study:

  • To outline the experience with perforator pedicled propeller flaps for traumatic leg defects.
  • To detail the surgical technique and outcomes of this reconstructive method.
  • To highlight the advantages of propeller flaps in lower limb reconstruction.

Main Methods:

  • The study focuses on the use of perforator pedicled propeller flaps, as defined by the Tokyo consensus.
  • The surgical technique involves skeletonizing a single perforator and rotating the skin island (90°-180°).
  • The 180° version allows for potential primary closure of the donor site with the flap's minor blade.

Main Results:

  • Propeller flaps offer reliability, good contour, and texture, utilizing 'like-with-like' local tissue.
  • The technique provides design versatility and effective donor site management.
  • The procedure requires minimal surgical expertise and operative time.

Conclusions:

  • Perforator pedicled propeller flaps are a versatile and valuable tool in the reconstructive algorithm for complex lower limb trauma.
  • This method provides excellent functional and aesthetic outcomes for traumatic leg defects.
  • The technique's simplicity and efficiency make it an attractive option for surgeons.