Propeller Flaps and Its Outcomes -
A Prospective Study of 15 Cases
Over Two-years
Published: January 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.3947
Ramesha K.T., Vijay J., Shankarappa M.
1. Assosciate Professor, Department of Plastic Surgery, Bangalore Medical College and Research Institute, Karnataka, India.
2. Post Graduate Student, Department of Plastic Surgery, Bangalore Medical College and Research Institute, Karnataka, India.
3. Professor, Department of Plastic Surgery, Bangalore Medical College and Research Institute, Karnataka, India.
Correspondence
Dr. Vijay J.,
Post Graduate Student, Department of Plastic Surgery,
Bangalore Medical College and Research Institute, Karnataka, India.
Phone: 7204512031, E-mail: jvijay@jipmer.Net
Introduction: Cover flaps are needed in management of any bodily defect involving bone, tendon, nerve & vessels. The major objective of a plastic surgeon, facing a complex soft-tissue defect, is to replace “like with like” tissues at minimal donor site “cost” and with maximal accuracy & efficacy.
Aims: To study the “Propeller Flaps” utility in reconstructive surgeries, evaluate its planning and complications involving donor site morbidity.
Methodology: The prospective study was conducted on 15 cases (11 males/4 females) of propeller flaps during the period of two years (2010-12) in Department of Plastic Surgery and Burns, Bangalore Medical College and Research Institute (BMCRI), Karnataka, India. The propeller flaps were performed in cases with defects due to any cause. Exclusion criteria: Cases with Peripheral Vascular Disease(PVD). Flaps were performed and details recorded.
Results: Overall results revealed problem resolution in 87% cases (13 cases). Comprehensive description of each flap type and its related cases are given in the table. It has been categorically found that there were 2 flap partial losses. Partial necrosis has been reported in heavy-smoker patients.
Conclusion: This current study clearly justifies that careful application, optimal designing & judicious scientific application of local perforator flaps for lower-limb wounds including rest of the body is successful in many aspects providing high-quality reconstruction ensuring minimal morbidity. It is cost-effective as well as time-saving.
[
FULL TEXT ] | [ PDF]