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Kiss flap in middle leg reconstruction: A technical note
K Allepot1, M Tondu1, M Hivelin1
1Department of Plastic Reconstructive and Aesthetic Surgery, Ambroise-Paré, Hôpitaux Universitaires Paris-Saclay, Assistance Publique-Hôpitaux de Paris (AP-HP), 9, avenue Charles-de-Gaulle, 92100 Boulogne-Billancourt, France; Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Boulogne-Billancourt, France.
The Kiss flap technique offers a reliable, less invasive method for lower limb reconstruction, effectively covering chronic tibial bone exposure. This approach combines functional and aesthetic benefits, improving patient outcomes in reconstructive surgery.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Orthopedic Surgery
Background:
- Lower limb defects pose reconstructive challenges, demanding functional and aesthetic solutions.
- Autologous tissue transfer aims for optimal reconstruction with minimal donor-site morbidity.
- Chronic tibial bone exposure requires reliable coverage techniques.
Purpose of the Study:
- To describe the application of the Kiss flap technique for chronic tibial bone exposure.
- To evaluate the efficacy and outcomes of the Kiss flap in lower limb reconstruction.
Main Methods:
- Utilized two local perforator-based rotation flaps (Kiss flap) for defect coverage.
- Employed a Doppler pen for precise perforator localization.
- Confirmed postoperative vascularization with indocyanine green imaging.
Main Results:
- Achieved complete healing without skin necrosis.
- Demonstrated aesthetic improvements, including natural hair growth concealing the scar.
- Ensured functional outcomes with adequate flap bulk for comfortable clothing wear.
Conclusions:
- The Kiss flap is a versatile and reliable option for lower limb reconstruction, especially in compromised areas.
- It offers a less invasive alternative to traditional muscle or free flaps.
- Integration of advanced imaging enhances precision and reliability in reconstructive surgery.
