Pelvic limb reconstruction failed by propeller flap resolved with microsurgery

The eight-limb modified propeller flap--a safer new technique.

INTRODUCTION Contracture deformities affecting the flexor aspect of the elbow joint and the 1st web space are not uncommon sequelae of burns. Surgical treatment is contemplated in those patients with established contractural deformities in whom non-surgical treatment is ineffective or functional integrity of the joint is at jeopardy. Surgical treatment consists of incising the scar tissue to re...

Propeller Flaps in Lower Limb Reconstruction: Case Series

Introduction: Traditionally in reconstruction of lower limb soft tissue defects, muscle flaps have been the ‘Gold Standard’ for Gustillo Anderson Grade III B fracture involving upper and middle third defects. Lower third defects were usually reconstructed with free flaps. Evolution in flap surgery has enabled fasciocutaneous, adipofascial and superthin flaps to be harvested for the purpose of r...

Ergonomics and Biogeometry of Perforator/Propeller Flaps in the Lower Limb Reconstruction

L-positioned Perforator Propeller Flap for Partial Breast Reconstruction with Axillary Dead Space

Partial breast reconstruction using perforator flaps harvested from the lateral chest wall has become a well-established surgical technique recently. In the case of a partial mastectomy with an axillary lymph node dissection, there are 2 main defects; one is a partial breast defect and the other is an axillary dead space. To reconstruct the 2 separate defects with local flaps, basically 2 diffe...

Composite Arteriovenous Radial Conduit Flap for Lower Limb Reconstruction

In complex lower limb trauma, the healthy recipient vessels can be far from the defect to be reconstructed due to the usually high-energy injury sustained. The use of vein grafts, either directly or in the form of arteriovenous loops, is the usual solution in these cases. In the vein graft donor-depleted patient, other options are required; the composite arteriovenous radial conduit flap may be...