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Outcomes of the Keystone Island Perforator Flap: A Systematic Review
Maxene Weinberg1, Adee J Heiman1, Rebecca DeSanti2
1Division of Plastic Surgery, Albany Medical College, Albany, New York.
Journal of Reconstructive Microsurgery
|April 27, 2022
Summary
The Keystone Design Perforator Island Flap (KDPIF) is a versatile reconstructive option with a 98% success rate. Further research is needed for standardized patient-specific surgical planning guidelines.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Surgical Innovation
Background:
- The Keystone Design Perforator Island Flap (KDPIF) offers a versatile, safe, and simple reconstructive method for soft tissue defects.
- First described in 2003, KDPIF has gained recognition in reconstructive surgery.
Approach:
- A PRISMA-guided literature review was performed using "surgical flaps" and "keystone flap" as search terms.
- Empirical studies with a minimum of 15 patients undergoing KDPIF reconstruction were included for quantitative analysis.
Key Points:
- The KDPIF demonstrates an overall success rate of 98%.
- Wound complications were most prevalent in reconstructions of extremity defects.
- Various modifications to the standard keystone flap technique were documented in the literature.
Conclusions:
- Keystone flap reconstruction demonstrates high success rates and adaptability in various surgical scenarios.
- Standardized reporting in future studies is essential for developing patient-specific surgical planning guidelines.
