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CC BY-NC-ND 4.0 · Indian J Plast Surg 2023; 56(04): 373-377
DOI: 10.1055/s-0043-1769113
Case Series

Perforator-Based Propeller Flap with Additional Venous Pedicle for Lower Limb Reconstruction

Jiten Kumar Mishra
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
,
Shamendra Anand Sahu 
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
,
Narendra Kuber Bodhey 
2   Department of Radiodiagnosis, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
,
Abi Sindhuja
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
,
Abhijith V.
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
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Abstract

Propeller flaps are effective reconstructive tools for small-to-medium sized defects of the lower limb and a reasonable alternative to free flaps. A major vessel of the lower limb remains undisturbed while raising the flap and the flap donor and recipient areas are addressed in the same operative field. Perforator-based propeller flaps are based on single perforator arising from a major vessel and during rotation of the larger paddle there is a possibility of kink in the venous component leading to congestion of flap. In our modification, one superficial vein of the lower limb namely the great saphenous or short saphenous vein was included in the flap territory to enhance the retrograde or antegrade venous drainage of the flap. We observed, no flap congestion or necrosis in the postoperative period. Also, the patency of the incorporated vein was confirmed using handheld and color Doppler.

Keywords

propeller flap - modified propeller flap - perforator propeller flap - lower extremity reconstruction


Publication History

Article published online:
01 June 2023

© 2023. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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