الفهرس | Only 14 pages are availabe for public view |
Abstract In the last years, the introduction of the propeller flap gained great popularity; these flaps have been increasingly used for reconstruction of soft tissue defects of different parts of the body especially the lower limbs. The aim of the study was to evaluate the use of peroneal artery perforator propeller flaps for coverage of leg defects. It has a reliable vascular pedicle and can undergo a wide mobilization and rotation without sacrificing major leg vessels; their harvest is fast and does not require microsurgery; however, accurate patient selection, preoperative planning, and accurate meticulous dissection technique are mandatory to prevent complications The use of propeller flaps to cover defects in the lower leg showed satisfactory results as regards flap viability and providing a suitable cover of various defects. The use of hand held Doppler proved satisfactory in pre-operative delineation of the perforators but colour duplex ultrasound is more accurate with less false positive or false negative. The use of propeller flaps proved to be effective as regards viability of the flap and decreasing the donor site defect with overall satisfactory aesthetic and functional outcome. |