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Utilizing Perforator Propeller Flaps for Donor Site Closure: Harvesting Large Workhorse Flaps without Lingering
Tinglu Han1, Nima Khavanin2, Mengqing Zang3
1Department of Plastic Surgery, Capital Medical University, Beijing Luhe Hospital, Beijing, China.
Journal of Reconstructive Microsurgery
|November 28, 2024
Summary
Perforator propeller flaps (PPFs) offer a safe and effective solution for donor-site closure after large flap harvests. This technique minimizes complications and allows for extensive flap harvesting for reconstruction.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Primary closure of large donor sites can be challenging.
- Perforator propeller flaps (PPFs) are increasingly used for donor-site coverage.
- PPFs aim to reduce donor-site morbidity.
Purpose of the Study:
- To review the experience and outcomes of using PPFs for donor-site coverage.
- To evaluate the safety and efficacy of PPFs in various body locations.
Main Methods:
- Retrospective chart review of patients undergoing PPF surgery for donor site resurfacing (February 2009 - December 2021).
- Analysis of flap and defect characteristics.
- Evaluation of postoperative complications and perioperative factors.
Main Results:
- 68 PPFs were used in 55 patients for donor-site reconstruction.
- Overall complication rate was 9.1% (1 complete necrosis, 4 distal necrosis).
- No statistically significant risk factors for complications were identified; no long-term contour deformities or functional impairments were observed.
Conclusions:
- Perforator propeller flap (PPF) technique is safe and effective for donor-site closure.
- PPFs result in minimal complications and allow for large flap harvests.
- This technique facilitates reconstruction of demanding soft tissue defects.
