Türk El ve Üst Ekstremite Cerrahisi Derneği
Türk El ve Üst Ekstremite Cerrahisi Derneği

Online First

Original Article   Open Access

Comparison of free perforator flaps with local propeller perforator flaps for acute lower extremity reconstructions

Heval Selman Ozkan, Osman Enver Aydin, Saime Irkoren, Huray Karaca, Taha Deniz Yildirim.

Abstract
Objectives: Adequate coverage of traumatic complex lower extremity wounds is often challenging for reconstructive surgeons. Local perforator flaps have gained wide acceptance as an alternative in soft tissue coverage of complex lower extremity defects over the last decade. Here, we report our experience with distal lower extremity reconstructions performed either with free or local perforator flaps. In the literature, no studies have been conducted that directly compare free flaps to propeller flaps; our aim here was to compare non-microvascular microsurgical flaps with free flaps for coverage of traumatic lower extremity wounds.
Methods: 28 patients operated on for lower extremity defects and reconstructed either with free or local perforator flaps between February 2011 to June 2015 were included in the study. Age, gender, defect sizes, etiologies, and operation times were reviewed. Postoperative recipient and donor site complications, hospital stay, and additional surgical procedures were also analyzed.
Results: There were 24 male and four female patients. Mean age was 43.11 years (range: 30 to 65 years) in the free perforator flap group and mean age was 44 years (range: 30 to 70 years) in the local perforator flap group. Hospital stay and overall operation time was significantly higher in the free flap group. There was no statistically significant difference in complication rates between either group.
Conclusions: Concerning many advantages, like decreased operative time, avoiding micro anastomosis, and reconstruction with like tissues, we suggest that propeller perforator flaps can be the first-line reconstructive choice. These flaps can be used successfully by reconstructive surgeons in small clinics and they may prevent unnecessary tertiary medical center referrals as well as extended hospitalizations, long operation times, and increased costs.

Key words: Perforator flap, lower extremity reconstruction, propeller flap

 

ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this article How to cite this article
Export to
Export to
Related Records
  Articles by Heval Selman Ozkan
Articles by Osman Enver Aydin
Articles by Saime Irkoren
Articles by Huray Karaca
Articles by Taha Deniz Yildirim

on Google
on Google Scholar
Article Statistics
  Viewed: 390
Downloaded: 50
Cited: 0

How to Cite this Article
Pubmed Style

Ozkan HS, Aydin OE, Irkoren S, Karaca H, Yildirim TD. Comparison of free perforator flaps with local propeller perforator flaps for acute lower extremity reconstructions. doi:10.5455/handmicrosurg.238279


Web Style

Ozkan HS, Aydin OE, Irkoren S, Karaca H, Yildirim TD. Comparison of free perforator flaps with local propeller perforator flaps for acute lower extremity reconstructions. www.scopemed.org/?mno=238279 [Access: November 23, 2017]. doi:10.5455/handmicrosurg.238279


AMA (American Medical Association) Style

Ozkan HS, Aydin OE, Irkoren S, Karaca H, Yildirim TD. Comparison of free perforator flaps with local propeller perforator flaps for acute lower extremity reconstructions. doi:10.5455/handmicrosurg.238279


Vancouver/ICMJE Style

Ozkan HS, Aydin OE, Irkoren S, Karaca H, Yildirim TD. Comparison of free perforator flaps with local propeller perforator flaps for acute lower extremity reconstructions. doi:10.5455/handmicrosurg.238279


Harvard Style

Ozkan, H. S., Aydin, O. E., Irkoren, S., Karaca, H. & Yildirim, T. D. (2017) Comparison of free perforator flaps with local propeller perforator flaps for acute lower extremity reconstructions. doi:10.5455/handmicrosurg.238279


Turabian Style

Ozkan, Heval Selman, Osman Enver Aydin, Saime Irkoren, Huray Karaca, and Taha Deniz Yildirim. 2017. Comparison of free perforator flaps with local propeller perforator flaps for acute lower extremity reconstructions. doi:10.5455/handmicrosurg.238279


Chicago Style

Ozkan, Heval Selman, Osman Enver Aydin, Saime Irkoren, Huray Karaca, and Taha Deniz Yildirim. “Comparison of free perforator flaps with local propeller perforator flaps for acute lower extremity reconstructions.” doi:10.5455/handmicrosurg.238279


MLA (The Modern Language Association) Style

Ozkan, Heval Selman, Osman Enver Aydin, Saime Irkoren, Huray Karaca, and Taha Deniz Yildirim. “Comparison of free perforator flaps with local propeller perforator flaps for acute lower extremity reconstructions.” doi:10.5455/handmicrosurg.238279


APA (American Psychological Association) Style

Ozkan, H. S., Aydin, O. E., Irkoren, S., Karaca, H. & Yildirim, T. D. (2017) Comparison of free perforator flaps with local propeller perforator flaps for acute lower extremity reconstructions. doi:10.5455/handmicrosurg.238279