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Related Experiment Video

Updated: Jul 6, 2025

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury

Published on: June 8, 2013

Golden Ratio Flap Designed Using the Golden Ratio Rectangle.

Akio Sakamoto¹, Toshiharu Fujita², Takashi Noguchi¹

¹From the Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Japan.

Plastic and Reconstructive Surgery. Global Open

|January 10, 2024

Summary

This summary is machine-generated.

The novel golden ratio flap, utilizing a golden rectangle design, offers a reproducible method for arcuate repairs, simplifying surgical planning and execution for plastic and reconstructive surgery.

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Area of Science:

Plastic Surgery
Surgical Techniques
Biomedical Engineering

Background:

Rotation flaps are arcuate repairs crucial for redistributing tension and utilizing tissue laxity.
Logarithmic spiral curves can optimize incision length in flap design.
This study introduces a novel rotation flap design based on the golden rectangle.

Purpose of the Study:

To introduce and validate a novel rotation flap design, termed the golden ratio flap.
To assess the reproducibility and clinical applicability of the golden ratio flap design.
To provide a standardized method for designing rotation flaps using geometric principles.

Main Methods:

The golden ratio flap design utilizes a golden rectangle, with flap incisions forming arcs within its squares.
Key parameters, 'height' and 'bottom', are defined based on the golden rectangle's geometry and defect dimensions.
Retrospective analysis of four superficial sarcoma cases treated with rotation flaps approximating logarithmic spiral curves.

Main Results:

The golden ratio flap design demonstrated a high similarity to preoperative flap designs in the assessed cases.
The ratio of 'bottom' to defect diameter was 1.3, and the ratio of 'height' was 1.4.
The flap's height and bottom parameters accurately approximate its length and width, respectively.

Conclusions:

The golden ratio flap, designed using the golden rectangle, is a reproducible surgical technique.
The defined parameters provide a systematic approach for flap design and clinical application.
Step-by-step guidance for drawing the golden ratio flap is proposed for practical use.