Perforator-based propeller flaps reliability in upper extremity soft tissue reconstruction: a systematic review

Vitse, Julian; Bekara, Farid; Bertheuil, Nicolas; Sinna, R.; Chaput, Benoît; Herlin, Christian

doi:10.1177/1753193416669262

Cited by 28 publications

(25 citation statements)

References 44 publications

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“…reported that the complication rate for propeller flaps in upper extremities was 24%, including PN (7%) and CN (3%). 30 These results are similar to our findings. When comparing complication rates for propeller flaps in lower extremities, our findings show lower rates than the results reported by Bekara et al, who concluded that the rate of complications was 25.2%, including PN (10.2%) and CN (3.5%).…”

Section: Discussionsupporting

confidence: 93%

“…Vitse et al . reported that the complication rate for propeller flaps in upper extremities was 24%, including PN (7%) and CN (3%) . These results are similar to our findings.…”

Section: Discussionsupporting

confidence: 92%

“…Soft tissue defect site was the first identified risk factor for pedicled flap necrosis. However, Gir et al 24 and Vitse et al 30 agreed that soft tissue defect site was not a risk factor associated with flap necrosis. In our series, the necrotic rate of skin flaps in the finger (9.91%) was less than that in the palm and back of the hand (13.46%).…”

Section: Discussionmentioning

confidence: 99%

“…However, Gir et al . and Vitse et al . agreed that soft tissue defect site was not a risk factor associated with flap necrosis.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Risk factors for pedicled flap necrosis in hand soft tissue reconstruction: a multivariate logistic regression analysis

Gong

Cui

Jiang

et al. 2017

ANZ Journal of Surgery

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Section: Discussionsupporting

confidence: 93%

“…Vitse et al . reported that the complication rate for propeller flaps in upper extremities was 24%, including PN (7%) and CN (3%) . These results are similar to our findings.…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

“…However, Gir et al . and Vitse et al . agreed that soft tissue defect site was not a risk factor associated with flap necrosis.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Risk factors for pedicled flap necrosis in hand soft tissue reconstruction: a multivariate logistic regression analysis

Gong

Cui

Jiang

et al. 2017

ANZ Journal of Surgery

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show abstract

“…In these instances, free tissue transfer is required to provide adequate soft tissue coverage. Many types of skin flaps can be used as an option for wound coverage [1,2].…”

Section: Introductionmentioning

confidence: 99%

Subacute reconstruction using flap transfer for complex defects of the upper extremity

Kang

Pan

et al. 2020

J Orthop Surg Res

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Background: Despite advances in microsurgical techniques of flap transfer, complex upper extremity trauma reconstruction remains a challenge for surgeons. This study aimed to present the outcomes in using flaps in the subacute reconstruction of complex upper extremity injuries. Methods: From July 2013 to December 2016, 35 patients ranging in age from 23 to 69 years with complicated upper extremity traumatic injuries were treated using flap reconstruction in subacute period. The number and causes of injury were 12 machine crush injuries, 18 machine strangulation injuries, two chainsaw accidents, two traffic accidents, and one incident of heavy bruising. Thirty-five patients underwent flap procedures, including 24 anterolateral thigh flaps (68.57%), five latissimus dorsi flaps (14.29%), and six lateral arm flaps (17.14%). Flap sizes ranged from 3 × 4 to 42 × 16 cm 2. The mean time of flap reconstruction was 14 days (range 5-29). During postoperative follow-up, flap appearance, sensory recovery, scarring and satisfaction were assessed. Results: The overall flap survival rate was 94.3%.Two flaps developed partial necrosis, both of which were later treated with skin grafting. Traumatic wound infections occurred in three patients. All upper limb injuries were completely covered. The follow-up periods ranged from 18 to 62 months with an average of 2.9 months. All skin flap textures were soft with varying degrees of pigmentation. Flap sensory recovery was S 1 in three cases, S 2 in eight cases, S 3 in 15 cases, and S 4 in nine cases. There were no donor site complications other than three cases with scar hyperplasia. Conclusions: The severe upper limb soft tissue defects still achieved satisfactory function and appearance with negligible complications and low amputation rates during the subacute period.

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Complex abdominopelvic reconstruction by combined tensor fascia latae and superficial circumflex iliac artery perforator flaps

et al. 2018

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BackgroundExtensive full thickness abdominopelvic defects pose a difficult challenge to surgeons. Autologous tissues are versatile and can provide a satisfying reconstructive option for this type of defects. The tensor fascia latae (TFL) and superficial circumflex iliac perforator (SCIP) flaps provide a large area of vascularized tissue and their use in reconstructive surgery is well‐known. In this report, the authors present the experience of using combined TFL and propeller SCIP flaps for covering large abdominal and pelvic defects.MethodsFour patients underwent reconstruction of soft‐tissue abdominopelvic defects by combined TFL and SCIP flaps. Three were men and one woman, aged from 52 to 76 years. The etiologies of the defects were tissue loss after tumor resection in 3 cases and necrotizing fasciitis in the fourth case. Defect dimensions ranged from 32 × 20 cm to 45 × 17 cm. An acoustic handheld Doppler was utilized to detect perforator vessels, then TFL and SCIP flaps were elevated at the same time by 2 surgical teams. Donor sites of the flaps were closed primary except for one TFL flap donor site. The latter one was treated with negative pressure therapy and finally with a split‐thick skin graft.ResultsThe size of the TFL flaps ranged from 25–38 × 10–14 cm. Concerning the SCIP flaps, the dimensions ranged from 18–32 × 12–18 cm. The average flap dimensions were 30.25 × 11.75 cm for the TFL and 26.75 × 14 cm for the SCIP. Two TFL flaps presented a necrosis of the distal tip. All the other flaps survived entirely. Complete healing was achieved in all patients. Patients were followed for an average of 4 months postoperatively (ranging between 2 and 8 months).ConclusionsCombined TFL and SCIP flaps may represent an alternative reconstructive procedure for large abdominopelvic defects in well‐selected cases.

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Perforator-based propeller flaps reliability in upper extremity soft tissue reconstruction: a systematic review

Abstract: II.

Cited by 28 publications

References 44 publications

Risk factors for pedicled flap necrosis in hand soft tissue reconstruction: a multivariate logistic regression analysis

Risk factors for pedicled flap necrosis in hand soft tissue reconstruction: a multivariate logistic regression analysis

Subacute reconstruction using flap transfer for complex defects of the upper extremity

Complex abdominopelvic reconstruction by combined tensor fascia latae and superficial circumflex iliac artery perforator flaps

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