Volume : X, Issue : VII, July - 2020

ERGONOMICS OF PERFORATOR/ PROPELLAR FLAPS IN LOWER LIMB

Dr. J. Romul Dhayan Raja

Abstract :

INTRODUCTION: Tissue defects in lower limb still present a challenge for the reconstructive Surgeon. Various types of flaps have been used in order to cover them. Perforator/propeller flap represent the latest milestone in the evolution of reconstructive surgery in the armamentarium of local flaps. This perforator flap are upgraded version of musculocutaneous flaps with complete spå of muscles and reduced local morbidity and functional disabilities.Aim of study is to ascertain the usefulness of these flaps in planning reconstructive surgery and to improve aesthetic and functional outcome and reducing local morbidity. MATERIALS AND METHODS: The study was conducted in the Dept. of Plastic Reconstructive & Maxillofacial surgery. Rajiv Gandhi Government General Hospital, and Madras Medical College over a period of 18 months. All patients with small to large sized soft tissue defects affecting Lower limb except plantar defects were included in the study. The proposed procedure was explained to the patient in detail including its merits and demerits. Informed and written consent was obtained from the patient. The proforma was submitted before the Institution Ethical committee and approval obtained. OBSERVATION & RESULTS: Perforator/propellar flaps for reconstruction of soft tissue defects over the lower limb was done in 40 patients (30 males and 10 females). The age of patients ranged from 20 yrs to 63 yrs. Post traumatic soft tissue defects of Knee, Lower 1/3 leg, Ankle and foot 34 patients, 4 patients were paraplegic with sacral pressure sore and 2patient were paraplegic with trochantric pressure sore. Among 40 patients, 3 patients were diabetic, 4 patients had the habit of Smoking. Perforator Characteristics: 1. Average size of perforator was 1.5mm. Average distance between perforator and wound margin was 2cms. CONCLUSION: The perforator/propeller flap in lower limb is a truly versatile flap that is safe, reliable, quick to perform and with standard periperforator dissection, gives a good aesthetic result. The single best perforator contributes to increased influx of blood flow with recruitment of adjacent perforosomes by opening the linking vesssels and larger flap harvest with 95% success rate of flap survival. The ability to base a flap on any perforator found in the vicinity of a wound to be reconstructed gives the surgeon unparalleled freedom when designing local flaps.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

ERGONOMICS OF PERFORATOR/ PROPELLAR FLAPS IN LOWER LIMB, Dr. J.Romul Dhayan Raja INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-7 | July-2020

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