Division of Plastic Surgery, Baylor Scott & White Health, Scott & White Memorial Hospital, 2401 South 31st Street, Temple, TX 76508, USA.
Division of Plastic Surgery, Baylor Scott & White Health, 2401 South 31st Street, Temple, TX 76508, USA.
Clin Plast Surg. 2021 Apr;48(2):173-181. doi: 10.1016/j.cps.2021.01.002.
Propeller flaps represent an outstanding alternative to conventional pedicled and free flap options in lower extremity reconstruction, offering significant advantages over the latter. An understanding of the perforasome concept, hot and cold perforator locations, and basic flap design enable the surgeon to readily harvest flaps based on any clinically relevant perforator in freestyle fashion. The purpose of this article is to review fundamentals of propeller flap design and harvest in the lower extremity and discuss reconstructive strategies by level of injury.
螺旋桨皮瓣是下肢重建中传统带蒂和游离皮瓣的绝佳替代选择，与后者相比具有显著优势。了解穿支体概念、热穿支和冷穿支位置以及基本皮瓣设计，使外科医生能够根据任何临床相关的穿支自由式地采集皮瓣。本文的目的是回顾下肢螺旋桨皮瓣设计和采集的基本原则，并按损伤程度讨论重建策略。
