Journal of Surgical Technique and Case Report
Journal of Surgical Technique and Case Report
CASE REPORT
Year : 2015  |  Volume : 7  |  Issue : 1  |  Page : 23-27

Propeller flap for complex distal leg reconstruction: A versatile alternative when reverse sural artery flap is not feasible


Department of Plastic, Reconstructive and Aesthetic Surgery, University College Hospital, Ibadan, Nigeria

Correspondence Address:
Samuel A Ademola
Department of Plastic, Reconstructive and Aesthetic Surgery, University College Hospital, Ibadan
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2006-8808.184943

Rights and Permissions

Reverse sural artery fasciocutaneous flap has become a workhorse for the reconstruction of distal leg soft tissue defects. When its use is not feasible, perforator-based propeller flap offers a better, easier, faster, and cheaper alternative to free flap. We present our experience with two men both aged 34 years who sustained Gustilo 3B injuries from gunshot. The donor area for reversed sural artery flap was involved in the injuries. They had early debridement, external fixation, and wound coverage with perforator-based propeller flaps. The donor sites were covered with skin graft. All flaps survived. There were minor wound edge ulcers due to the pressure of positioning that did not affect flap survival and the ulcers healed with conservative management. Perforator-based propeller flap is a versatile armamentarium for reconstruction of soft tissue defects of the distal leg in resource-constrained settings, especially when the donor area for a reverse flow sural flap artery is involved in the injury.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed718    
    Printed5    
    Emailed0    
    PDF Downloaded84    
    Comments [Add]    

Recommend this journal