Perforator-based propeller flaps for leg reconstruction in pediatric patients

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dc.contributor.authorOzalp, Burhan
dc.contributor.authorAydinol, Mustafa
dc.date.accessioned2024-04-24T16:10:56Z
dc.date.available2024-04-24T16:10:56Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: Perforator-based propeller flaps provide adequate soft tissue coverage for leg reconstruction. The aim of this study was to assess the versatility and reliability of the use of propeller flaps for leg reconstruction in pediatric patients. Method: Seven male pediatric patients ranging in age from 2 to 13 years with a mean age of 6.7 underwent perforator-based propeller flap surgery over a four-year period. The defects resulted from burn injuries (n = 4) and traffic accidents (n = 3). The injuries were located on the ankles of four patients and on the knee, anterior lower tibia, and foot dorsum of the other three patients, respectively. Results: The flap sizes ranged from 5 x 3 to 10 x 6 cm with a mean flap size of 7.6 x 4.3 cm. Flap harvesting time ranged from 38 to 56 m with a mean of 46 m. The rotation degree range of the flaps was from 90 degrees to 180 degrees. The propeller flaps were based on the posterior tibial artery (n = 4), anterior tibial artery (n = 2), and the descending branch of the lateral circumflex femoral artery (n = 1). All flaps survived completely without surgical complication; however, one patient developed disseminated intravascular coagulation syndrome two days post-surgery and died within four days. Conclusion: Perforator-based propeller flap reconstruction is a safe, reliable, and versatile method for lower extremities in pediatric patients; however, it requires meticulous surgical dissection and extreme patience during the surgical procedure. (C) 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.bjps.2016.07.015
dc.identifier.endpageE211en_US
dc.identifier.issn1748-6815
dc.identifier.issn1878-0539
dc.identifier.issue10en_US
dc.identifier.pmid27506265
dc.identifier.scopus2-s2.0-84987741057
dc.identifier.scopusqualityQ2
dc.identifier.startpageE205en_US
dc.identifier.urihttps://doi.org/10.1016/j.bjps.2016.07.015
dc.identifier.urihttps://hdl.handle.net/11468/15197
dc.identifier.volume69en_US
dc.identifier.wosWOS:000388292900001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofJournal of Plastic Reconstructive and Aesthetic Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPerforator Flapsen_US
dc.subjectPropeller Flapsen_US
dc.subjectLeg Reconstructionen_US
dc.subjectPediatric Patientsen_US
dc.titlePerforator-based propeller flaps for leg reconstruction in pediatric patientsen_US
dc.titlePerforator-based propeller flaps for leg reconstruction in pediatric patients
dc.typeArticleen_US

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