The propeller flap challenges conventional wisdom for the safe raising of flaps. Its unique design is based on a belief that a sizeable fasciocutaneous flap can be perfused by only a single perforator. What is more remarkable is the concept that this cleanly dissected pedicle can continue to safely perfuse the flap even when it is twisted 180 degrees.
View Article and Find Full Text PDFBackground: The superficial circumflex iliac artery perforator (SCIP) flap is a versatile option of free tissue transfer for small to large defects. In this study, we examine the advantages of the SCIP flap, its cadaveric anatomy, and clinical subtypes.
Methods: Ten cadavers were dissected and the corresponding pedicles of the SCIP and groin flaps were identified.
The propeller flap, based on a single vascular pedicle supplying a fasciocutaneous island of skin, is a very useful technique to reconstruct soft tissue defects and has wide applications throughout the body. The use of this unique flap is pushing the boundaries of local flap reconstruction and bringing up intriguing questions about our understanding of the vascular basis of fasciocutaneous flaps.
View Article and Find Full Text PDFJ Plast Reconstr Aesthet Surg
April 2010
Background: The Tranquilli-Leali and Atasoy volar V-Y advancement flaps are considered workhorse flaps in the reconstruction of fingertip amputations. However, their description in the literature in terms of surgical dissection and blood supply is often indistinct. This study describes the differences between the two flaps and highlights their unique blood supply based on a thorough cadaveric study and review of the literature.
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