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CC BY-NC-ND 4.0 · Indian J Plast Surg
DOI: 10.1055/s-0044-1788990
Original Article

The Keystone Design Perforator Flap: A Flap to Simplify Complex Reconstructive Issues

Camilla Bonetti
1   Division of Plastic and Reconstructive Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Varese, Italy
,
Sergio Arleo
2   Department of Plastic Reconstructive Surgery, ASST Valle Camonica, Esine, Brescia, Italy
,
Luigi Valdatta
3   Division of Plastic and Reconstructive Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Varese, Italy
,
Gianpaolo Faini
4   Department of Plastic Reconstructive Surgery, ASST Valle Camonica, Esine, Brescia, Italy
› Institutsangaben Funding None.
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Abstract

Background The keystone design perforator island flap (KDPIF) was first described by Behan in 2003 as a pliable flap, suitable for all body areas thanks to its curvilinear shape, which made it apt to fit mostly all cutaneous defects.

Materials and Methods In this article, we aim to share our experience using KDPIF for the reconstruction of different defects. A retrospective analysis of patients who underwent cutaneous excision after trauma or tumor resection and reconstruction with a KDPIF at our department from 2020 to 2023 was performed. Patients' characteristics, indications, and operative and postoperative details were analyzed.

Results There was no complete flap loss. One patient experienced partial flap loss without exposure to major structures and needed skin grafting.

Conclusion Mapping of the perforators makes the keystone flap even more manageable, with the possibility to safely stretch and modify its design according to individual necessities.

Keywords

keystone flap - local flaps - perforators

Ethical Approval

Permission of the Ethic Committee was not necessary due to the retrospective nature of the study.


Authors' Contributions

All the authors have made a substantial contribution to the concept of the article, equally cooperating on the drafting and revisions of the article, giving their precious opinion and contributing with their own personal experience. The final version of this article was approved by all of the authors. All the authors agree to be accountable for all aspects of the work presented here.




Publikationsverlauf

Artikel online veröffentlicht:
03. September 2024

© 2024. 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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