| Titre : | Propeller Flaps of the Lower Extremity (2020) |
| Auteurs : | Michael D. Liette ; Pedro Rodriguez ; Christopher Bibbo ; Suhail Masadeh ; Mohamed A. Ellabban |
| Type de document : | Article |
| Dans : | Clinics in Podiatric Medicine and Surgery (Vol. 37, n° 4, October 2020) |
| Article en page(s) : | p. 727-742 |
| Note générale : | doi:10.1016/j.cpm.2020.06.001 |
| Langues: | Anglais |
| Mots-clés: | Ulcération ; Fasciocutané ; Reconstruction des membres inférieurs ; Récupération de membres ; Perforateur |
| Résumé : | Wounds of the lower extremity, especially those of the distal third of the leg, pose significant challenges due to the unique anatomy and physiology of this region. The thin subcutaneous layer, multitude of superficial tendons, and lack of muscle over the anterior-medial-lateral limb regions contribute to the difficulty of wound management. Free flaps often are the procedure of choice in cases of immediate coverage needed. Patients with lower extremity wounds, however, often are frail and medically compromised, with suboptimal physiology to rise to the threshold needed to experience these time-consuming procedures. Furthermore, free tissue transfers require highly specialized skills and a medical facility able to support microsurgery demands. The knowledge of soft tissue perfusion has evolved rapidly, allowing the use of fasciocutaneous rotation flaps to assume a larger role in the reconstructive algorithm. Fasciocutaneous rotation flaps, including the propeller-style flap, have proved reliable, relatively quick, often capable of providing a more aesthetically pleasing outcome, and to have significantly less host morbidity without disturbing the axial source vessels or the intracompartmental muscles. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0891842220300756 |
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