Propeller Flaps and Its Outcomes -
A Prospective Study of 15 Cases
Dr. Vijay J.,
Post Graduate Student, Department of Plastic Surgery,
Bangalore Medical College and Research Institute, Karnataka, India.
Phone: 7204512031, E-mail: jvijay@jipmer.Net
Introduction: Cover flaps are needed in management of any bodily defect involving bone, tendon, nerve & vessels. The major objective of a plastic surgeon, facing a complex soft-tissue defect, is to replace â€ślike with likeâ€ť tissues at minimal donor site â€ścostâ€ť and with maximal accuracy & efficacy.
Aims: To study the â€śPropeller Flapsâ€ť utility in reconstructive surgeries, evaluate its planning and complications involving donor site morbidity.
Methodology: The prospective study was conducted on 15 cases (11 males/4 females) of propeller flaps during the period of two years (2010-12) in Department of Plastic Surgery and Burns, Bangalore Medical College and Research Institute (BMCRI), Karnataka, India. The propeller flaps were performed in cases with defects due to any cause. Exclusion criteria: Cases with Peripheral Vascular Disease(PVD). Flaps were performed and details recorded.
Results: Overall results revealed problem resolution in 87% cases (13 cases). Comprehensive description of each flap type and its related cases are given in the table. It has been categorically found that there were 2 flap partial losses. Partial necrosis has been reported in heavy-smoker patients.
Conclusion: This current study clearly justifies that careful application, optimal designing & judicious scientific application of local perforator flaps for lower-limb wounds including rest of the body is successful in many aspects providing high-quality reconstruction ensuring minimal morbidity. It is cost-effective as well as time-saving.