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Related Experiment Video

Updated: Jul 1, 2026

Fabrication of Engineered Vascular Flaps Using 3D Printing Technologies

Fabrication of Engineered Vascular Flaps Using 3D Printing Technologies

Published on: May 19, 2022

Versatility of the Keystone Design Perforator Island Flaps in Resurfacing Soft Tissue Defects.

Ranjit Kumar Sahu¹, Kaushik Mahadik¹, Sanjay Kumar Giri¹

¹Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India

|August 14, 2024

Summary

The keystone design perforator island flap (KDPIF) offers versatile reconstruction for various defects. This study shows KDPIF has a high success rate, reduces pain, and provides excellent aesthetic outcomes.

Keywords:

island flap keystone flap local flap'

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Area of Science:

Plastic Surgery
Reconstructive Surgery
Microsurgery

Background:

The keystone design perforator island flap (KDPIF) is a versatile local flap known for its adaptability in reconstruction.
This study evaluates the KDPIF's utility across diverse anatomical locations and defect types.

Purpose of the Study:

To assess the versatility, surgical outcomes, complications, pain reduction, operative time, and aesthetic results of the keystone flap.
To determine the efficacy of KDPIF in reconstructing various soft tissue defects.

Main Methods:

A prospective observational study was conducted over two years (June 2021-June 2023).
Data from 44 patients undergoing KDPIF reconstruction for soft tissue defects were analyzed.

Main Results:

The study included 44 patients with defects of varying sizes and etiologies.
Flap survival rate was 95.45%, with minimal complications (partial dehiscence in 2 patients).
Significant postoperative pain reduction (83.7%) and high patient satisfaction with aesthetic outcomes (82.9%) were observed.

Conclusions:

The keystone flap is a reliable and reproducible reconstructive option for plastic surgeons.
It is suitable for resource-limited settings, offering well-vascularized tissue with a low complication rate.