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Related Experiment Videos

De-epithelialised "turn over" axial-pattern flaps in the lower extremity.

R L Thatte, D Patil, P Talwar

    British Journal of Plastic Surgery
    |July 1, 1983
    PubMed
    Summary

    This study applies the de-epithelialised "turn over" flap principle to lower extremity reconstruction using fasciocutaneous and dorsalis pedis flaps. This technique offers a viable option for managing skin and subcutaneous tissue defects.

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    Area of Science:

    • Plastic Surgery
    • Reconstructive Surgery

    Background:

    • The de-epithelialised "turn over" deltopectoral flap has shown success in chest wall defect reconstruction.
    • This principle involves utilizing a flap with a de-epithelialised portion to cover defects.

    Observation:

    • This paper explores adapting the de-epithelialised "turn over" flap concept to other established flap types.
    • Specifically, it examines the application to the fasciocutaneous flap (Pontén, 1981) and the dorsalis pedis flap (O'Brien and Shanmugam, 1973; McCraw and Furlow, 1975).

    Findings:

    • The study demonstrates the successful application of this principle for lower extremity defects involving skin and subcutaneous tissue.
    • The rationale for selecting these specific flaps and alternative reconstructive options are discussed.

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    Implications:

    • This technique expands the versatility of de-epithelialised "turn over" flaps in reconstructive surgery.
    • It provides surgeons with additional strategies for effectively managing complex lower extremity defects.