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Related Experiment Video

Updated: Feb 4, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

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Published on: December 5, 2025

695

Pedicled Flaps Versus Free Flaps for Back Reconstruction.

Sho Komagoe1, Toshiyuki Watanabe, Seiji Komatsu

  • 1From the Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan.

Annals of Plastic Surgery
|September 25, 2018
PubMed
Summary
This summary is machine-generated.

Pedicled flaps are recommended for back reconstruction due to significantly shorter operative times compared to free flaps. This study analyzed 22 patients to determine the optimal flap choice for effective back defect repair.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Back reconstructions using flaps are uncommon, with limited clinical reports.
  • This study addresses the optimal flap selection for back defects.

Purpose of the Study:

  • To compare pedicled flaps versus free flaps for back reconstruction.
  • To establish a simplified algorithm for flap selection in back defects.

Main Methods:

  • Retrospective analysis of 22 patients undergoing back flap reconstruction (July 2000 - August 2016).
  • Data collected included operative time, defect size (as % of body surface area), and reoperation rates.
  • Univariate analysis compared outcomes between pedicled and free flaps.

Main Results:

  • Pedicled flaps were used in 17 patients; free flaps in 5.
  • Pedicled flaps showed significantly lower operative times and defect sizes (% BSA) compared to free flaps (P=0.002, P=0.046).
  • Reoperation rates were not significantly different (P=0.16); reasons included flap necrosis (pedicled) and skin graft necrosis (free).

Conclusions:

  • Pedicled flaps are the preferred choice for back reconstruction, regardless of defect size or reoperation factors.
  • Shorter operative times with pedicled flaps offer benefits to both patients and surgeons.
  • Free flaps are a viable alternative when pedicled flaps are not feasible.