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Propeller perforator flaps in forearm and hand reconstruction

  • Alexandru Valentin Georgescu
  • Ileana Rodica MateiEmail author
Original Article • HAND - MICROSURGERY
  • 29 Downloads

Abstract

After a long history in flaps’ surgery, the perforator flaps became the most used flaps nowadays. From the beginning, their use as free flaps diminished substantially the donor site morbidity. In the attempt to not only diminish the donor site morbidity, but also to achieve more similar reconstructions, a new concept appeared 20 years ago: local perforator flaps. The local perforator flaps offer as main advantages the absence of microsurgical sutures (“microsurgical non-microvascular flaps”), same surgical field, the sparing of muscles and main vascular pedicles, and shorter hospitalization time. They can be used as V–Y advancement flaps, transposition flaps, propeller flaps, and keystone flaps (multiperforator flaps). The present study will refer to the use of local perforator flaps in forearm and hand reconstruction, and will point on the most important technical aspects of their harvesting, the main indications, advantages and disadvantages, and possible complications.

Keywords

Forearm defects Hand defects Perforator flaps Propeller perforator flaps 

Notes

Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study

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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Clinical Hospital of Rehabilitation Cluj NapocaUniversity of Medicine Iuliu Hatieganu Cluj NapocaCluj NapocaRomania

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