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J Reconstr Microsurg 2021; 37(01): 022-031
DOI: 10.1055/s-0040-1715656
Review Article

Propeller Flaps for Reconstruction around the Foot and Ankle

Tiew Chong Teo
1   Department of Plastic Surgery, Queen Victoria Hospital, East Grinstead, West Sussex, United Kingdom
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Abstract

The propeller flap challenges conventional wisdom for the safe raising of flaps. Its unique design is based on a belief that a sizeable fasciocutaneous flap can be perfused by only a single perforator. What is more remarkable is the concept that this cleanly dissected pedicle can continue to safely perfuse the flap even when it is twisted 180 degrees. Clearly, meticulous technique is essential and the key points in raising this flap and its versatility for reconstruction of defects around the foot and ankle are discussed in this article.

Keywords

propeller flaps - perforator flaps - islanded local fasciocutaneous flap - dissection technique - lower limb reconstruction


Publication History

Received: 16 June 2020

Accepted: 15 July 2020

Article published online:
18 September 2020

© 2020. Thieme. All rights reserved.

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