The propeller flap for postburn elbow contractures

Aslan, Gürcan; Tuncali, Dogan; Cigsar, Bulent; Barutcu, Ayse Yuksel; Terzioğlu, Ahmet

doi:10.1016/j.burns.2005.07.007

Cited by 32 publications

(23 citation statements)

References 12 publications

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“…9 The flap remained underused because of the limitation of rotation from the redundant accompanying tissue around the perforator pedicle and the fear of kinking the pedicle that might result in flap loss. 17 Better understanding of the perforator flaps has renewed interest in this flap design, where a single perforator is used to rotate a fasciocutaneous or adipocutaneous flap. 11 The foundation to use perforators to elevate a flap for posterior trunk reconstruction was laid out by Taylor and Palmer's study of angiosomes.…”

Section: Discussionmentioning

confidence: 99%

Freestyle Propeller Flaps to Reconstruct Defects of the Posterior Trunk

Hallock²,

Hong³

2012

Annals of Plastic Surgery

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The reconstruction of complex defects of the back remains difficult. However, a local skin flap alone based on a competent single perforator can have a large skin territory with an efficient arc of rotation as a propeller flap to cover many back wounds, while the donor site can still be closed primarily. Eleven patients with defect sizes ranging from 36 to 264 cm(2) underwent coverage of posterior trunk defects using propeller flap (rotated perforator flaps), and all the donor sites were primarily closed. The average number of perforators within the flap was 1.4. All flaps healed uneventfully except for 1 case in which congestion was noted; leech was applied and the flap healed well. Radiation therapy was done in 1 case and was uneventful. The freestyle perforator propeller flap can be a reliable and a simpler solution to reconstruct a difficult defect while achieving minimal donor site morbidity.

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Section: Discussionmentioning

confidence: 99%

Freestyle Propeller Flaps to Reconstruct Defects of the Posterior Trunk

Hallock²,

Hong³

2012

Annals of Plastic Surgery

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“…The thickness of the pedicle limited the flap rotation to 90°. 1,5 This restricted the use of this flap in the limbs because only defects that were in this 90°arc of rotation could be covered. In addition, limbs have far less skin laxity in the transverse axis when compared to the longitudinal axis.…”

mentioning

confidence: 99%

Clinical Applications of Perforator-Based Propeller Flaps in Upper Limb Soft Tissue Reconstruction

Ono

Sebastin

Yazaki

et al. 2011

The Journal of Hand Surgery

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“…In moderate antecubital scar contracture, after releasing the scar, large soft-tissue defects that cross the joint or expose vital structures are treated with a variety of local, adipofascial flaps and regional flaps that recruit uninjured tissues from the upper arm, forearm (1,17,18). Local fasciocutaneous flaps have become the mainstay for elbow reconstruction and provide supple skin, but they can also result in an unhealthy donor site and occasional sacrifice of either the radial or the ulnar artery (1, 7).…”

Section: Discussionmentioning

confidence: 99%

Comparing Z-Plasty versus Z-Plasty and Skin Grafting for Surgical Tension-Free Treatment of Post-Burn Elbow Contractures: A Randomized Clinical Trial

Hosseini¹,

Khorram

Vakili

et al. 2018

Trauma Mon

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Background: Elbow contracture is a common incidence. It has surgical treatments such as scar release and skin graft, Z or V-Y plasty, and lateral or medial arm flap. In this study, we compared Z-plasty versus Z-plasty and skin grafting in the surgical tensionfree treatment of post-burn elbow contractures. Methods: 30 patients with elbow joint extension restriction participated in this randomized clinical trial in two groups: experimental (Z-plasty with skin graft) and control (Z-plasty alone) groups. In both groups, Z-plasty was designed with a 60 degrees angle. In the experimental group, the flaps were turned without tension, and then the upper and lower parts of the flaps were grafted by a mid-split-thickness skin graft. The surgery area was examined regarding infections, wound healing time, necrosis, and scar. Significant differences were evaluated using unpaired student t-test. Results: Only seven participants in the control group had complications. The statistical analysis of all variables in both groups showed that Z-plasty with skin graft treatment had a significantly better result than the Z-plasty alone (P = 0.006). However, the two groups showed no significant differences in terms of infection, flap tip necrosis, surgery site infection, and feeling of pressure in joint extension or scar recurrence (P = 0.273). Conclusions: Tension-free flap must be used in patients with mild or moderate wide elbow scar contracture. Combining Z-plasty with skin graft is easy and has better results than Z-plasty alone. It is recommended using this technique in patients with intraoperative flap tension.

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The propeller flap for postburn elbow contractures

Cited by 32 publications

References 12 publications

Freestyle Propeller Flaps to Reconstruct Defects of the Posterior Trunk

Freestyle Propeller Flaps to Reconstruct Defects of the Posterior Trunk

Clinical Applications of Perforator-Based Propeller Flaps in Upper Limb Soft Tissue Reconstruction

Comparing Z-Plasty versus Z-Plasty and Skin Grafting for Surgical Tension-Free Treatment of Post-Burn Elbow Contractures: A Randomized Clinical Trial

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