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The Keystone Design Perforator Flap: A Flap to Simplify Complex Reconstructive Issues.
Camilla Bonetti1, Sergio Arleo2, Luigi Valdatta1
1Division of Plastic and Reconstructive Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.
Summary
The keystone design perforator island flap (KDPIF) offers a versatile solution for reconstructing cutaneous defects. This study found KDPIF reconstruction to be highly successful, with minimal complications, highlighting its reliability in plastic surgery.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Surgical Innovation
Background:
- The keystone design perforator island flap (KDPIF) was introduced in 2003.
- Its curvilinear shape offers flexibility for various body areas and cutaneous defects.
Purpose of the Study:
- To evaluate the clinical experience and outcomes of using KDPIF for defect reconstruction.
- To assess the flap's versatility and reliability in diverse surgical scenarios.
Main Methods:
- Retrospective analysis of patients undergoing reconstruction with KDPIF from 2020 to 2023.
- Inclusion criteria: cutaneous excision post-trauma or tumor resection.
- Analysis of patient demographics, indications, operative, and postoperative details.
Main Results:
- No instances of complete flap loss were recorded.
- One patient experienced partial flap loss requiring subsequent skin grafting.
- The flap demonstrated successful adaptation to various defect types.
Conclusions:
- KDPIF is a manageable and effective flap for reconstructive surgery.
- Pre-operative perforator mapping enhances flap design modification and safety.
- KDPIF provides a reliable option for diverse cutaneous defect reconstructions.
