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Propeller perforator flaps in forearm and hand reconstruction.

Alexandru Valentin Georgescu1, Ileana Rodica Matei2

  • 1Clinical Hospital of Rehabilitation Cluj Napoca, University of Medicine Iuliu Hatieganu Cluj Napoca, Str. Viilor Nr. 46-50, 400347, Cluj Napoca, Cluj, Romania.

European Journal of Orthopaedic Surgery & Traumatology : Orthopedie Traumatologie
|October 28, 2018
PubMed
Summary

Local perforator flaps offer a less invasive alternative to traditional flap surgery for forearm and hand reconstruction. These microsurgical non-microvascular flaps reduce donor site morbidity and hospital stays.

Keywords:
Forearm defectsHand defectsPerforator flapsPropeller perforator flaps

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Perforator flaps have evolved significantly in reconstructive surgery.
  • Free flaps initially reduced donor site morbidity.
  • Local perforator flaps emerged as an advancement 20 years ago.

Purpose of the Study:

  • To review the application of local perforator flaps in forearm and hand reconstruction.
  • To detail technical aspects, indications, and outcomes of these flaps.

Main Methods:

  • Review of local perforator flap techniques.
  • Discussion of V-Y advancement, transposition, propeller, and keystone flap variations.
  • Analysis of clinical applications in forearm and hand reconstruction.

Main Results:

  • Local perforator flaps avoid microsurgical sutures, preserving muscles and vascular pedicles.
  • Advantages include a similar surgical field and shorter hospitalization.
  • Various flap types (V-Y, transposition, propeller, keystone) are applicable.

Conclusions:

  • Local perforator flaps represent a significant advancement in reconstructive surgery.
  • They offer reduced donor site morbidity and improved functional outcomes.
  • This technique is valuable for forearm and hand reconstruction.