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322602

Assessment of Reconstruction of Lower Limbs Defects Using Keystone Perforator Flaps

Article

Last updated: 24 Dec 2024

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Clinical Research (Surgical)

Abstract

Background: In reconstructive surgery, the perforator flap procedure involves removing skin and/or subcutaneous fat from a distant or nearby portion of the body in order to restore the excised part. Isolated perforators from a deep vascular system are what provide the flap its blood supply. The trapezoidal-shaped keystone perforator island flap is effectively two linked V-Y island flaps. Objectives: we aimed in this study to determine the feasibility and safety of keystone island flap in managing various limb defects. Patients and Methods: Patients who were presented to the plastic surgery department at the Suez Canal University Hospital with leg deformities were the subject of a planned cross-sectional study. 15 patients were included in the study; 10 (66.67%) men and 5 (33.33%) women had soft tissue leg abnormalities. Patients underwent a history-taking process that included gathering information about their demographics, medical histories, comorbidities, and surgical indications. Defect characteristics and placements were also evaluated, as were hospitalization and sequelae. Results: The lengths of the faults ranged from 1 cm to 5 cm, with a p-value < 0.001. There were substantial relationships between the actual means of the score's component components and the samples of their respective variables, according to the descriptive statistics of the POSAS Observer scale and its constituents' mean scores (p-value <0.001). Regarding the population of the study, there was a statistically significant variation in the distribution of problems. The remaining two patients (Fisher's exact test's p-value = 0.001) showed one or more difficulties, while the remaining 13 patients did not exhibit any complications. Conclusion: The keystone flap offers a sensitive cover, reduces the need for microsurgical procedures, and shortens the length of the operation. It is a simple and safe solution for covering a variety of limb deformities with the least amount of morbidity.
 

DOI

10.21608/scumj.2023.322602

Keywords

Perforator flap, Keystone flap, Reconstructive surgery

Authors

First Name

Alshaimaa H.

Last Name

Subh

MiddleName

-

Affiliation

Department of Plastic Surgery, Faculty Medicine, Tripoli University, Tripoli, LIBYA

Email

shemahassan7@icloud.com

City

Portsaid

Orcid

-

First Name

Amr A.

Last Name

Gomaa

MiddleName

-

Affiliation

Department of Plastic Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Email

-

City

-

Orcid

-

First Name

Ahmed M.

Last Name

Aboelnaga

MiddleName

-

Affiliation

Department of Plastic Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Email

-

City

-

Orcid

-

First Name

Mohamed A.

Last Name

AlBadawy

MiddleName

-

Affiliation

Department of Plastic Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Email

-

City

-

Orcid

-

Volume

26

Article Issue

8

Related Issue

43654

Issue Date

2023-08-01

Receive Date

2023-10-23

Publish Date

2023-08-01

Print ISSN

1110-6999

Online ISSN

2090-2581

Link

https://scumj.journals.ekb.eg/article_322602.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=322602

Order

11

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Assessment of Reconstruction of Lower Limbs Defects Using Keystone Perforator Flaps

Details

Type

Article

Created At

24 Dec 2024