A review of propeller flaps for distal lower extremity soft tissue reconstruction: Is flap loss too high?

摘要: Soft tissue coverage in the distal lower extremity remains a significant challenge. While free flaps are often utilized for larger defects, local perforator-based propeller may be ideal smaller wounds requiring coverage. Propeller can provide excellent form and function both traumatic atraumatic defects with minimal donor site morbidity but have concerning rates of flap loss. We reviewed literature, identifying 21 studies presenting 310 reconstruction. Total necrosis was noted 5.5% flaps, partial 11.6%. these do enable transfer local, healthy to defect without need microsurgical anastomosis, this rate loss is appropriate patient selection crucial. This review provides brief history overview clinical application research into perforator place technique context.