The Versatility of Propeller Flaps for Lower Limb Reconstruction in Patients With Peripheral Arterial Obstructive Disease Initial Experience
In this study, we evaluate the feasibility of propeller flaps, for soft tissue reconstruction in patients with peripheral arterial obstructive disease (PAOD). Five patients (average age, 72 years old), presenting with necrosis of several foot units, were diagnosed with stage IV PAOD and diabetes mel...
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| Veröffentlicht in: | Annals of plastic surgery 2010-02, Vol.64 (2), p.193-197 |
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| container_title | Annals of plastic surgery |
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| creator | JIGA, Lucian P BARAC, Sorin TARANU, Georgel BLIDISEL, Alexandru DORNEAN, Vlad NISTOR, Alexandru STOICHITOIU, Teodora GEISHAUSER, Max IONAC, Mihai |
| description | In this study, we evaluate the feasibility of propeller flaps, for soft tissue reconstruction in patients with peripheral arterial obstructive disease (PAOD). Five patients (average age, 72 years old), presenting with necrosis of several foot units, were diagnosed with stage IV PAOD and diabetes mellitus. All underwent revascularization, followed by soft tissue reconstruction using propeller flaps. A total of 6 flaps were performed, with dimensions ranging from 4 x 7 cm to 8 x 31 cm. Perforator origin was the peroneal (5 flaps) or the tibial posterior artery (1 flap). Average operative time was 190 minutes. Overall patency was 83.3%; 1 case was complicated with total flap loss followed by below-knee amputation; 1 case developed partial necrosis necessitating skin grafting. All flaps developed mild postoperative edema, which resolved spontaneously. Propeller flaps prove to be useful tools for soft tissue reconstruction in patients with PAOD because of low operative morbidity, easy technique with fast learning curve, and low complications rate. |
| doi_str_mv | 10.1097/SAP.0b013e3181a72f8c |
| format | Article |
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Five patients (average age, 72 years old), presenting with necrosis of several foot units, were diagnosed with stage IV PAOD and diabetes mellitus. All underwent revascularization, followed by soft tissue reconstruction using propeller flaps. A total of 6 flaps were performed, with dimensions ranging from 4 x 7 cm to 8 x 31 cm. Perforator origin was the peroneal (5 flaps) or the tibial posterior artery (1 flap). Average operative time was 190 minutes. Overall patency was 83.3%; 1 case was complicated with total flap loss followed by below-knee amputation; 1 case developed partial necrosis necessitating skin grafting. All flaps developed mild postoperative edema, which resolved spontaneously. Propeller flaps prove to be useful tools for soft tissue reconstruction in patients with PAOD because of low operative morbidity, easy technique with fast learning curve, and low complications rate.</description><identifier>ISSN: 0148-7043</identifier><identifier>EISSN: 1536-3708</identifier><identifier>DOI: 10.1097/SAP.0b013e3181a72f8c</identifier><identifier>PMID: 20098106</identifier><identifier>CODEN: APCSD4</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Aged ; Aged, 80 and over ; Ankle Brachial Index ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Diabetic Angiopathies - surgery ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Feasibility Studies ; Female ; Gangrene - surgery ; Humans ; Leg - blood supply ; Leg - surgery ; Male ; Medical sciences ; Microsurgery ; Peripheral Vascular Diseases - surgery ; Reconstructive Surgical Procedures - methods ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Five patients (average age, 72 years old), presenting with necrosis of several foot units, were diagnosed with stage IV PAOD and diabetes mellitus. All underwent revascularization, followed by soft tissue reconstruction using propeller flaps. A total of 6 flaps were performed, with dimensions ranging from 4 x 7 cm to 8 x 31 cm. Perforator origin was the peroneal (5 flaps) or the tibial posterior artery (1 flap). Average operative time was 190 minutes. Overall patency was 83.3%; 1 case was complicated with total flap loss followed by below-knee amputation; 1 case developed partial necrosis necessitating skin grafting. All flaps developed mild postoperative edema, which resolved spontaneously. Propeller flaps prove to be useful tools for soft tissue reconstruction in patients with PAOD because of low operative morbidity, easy technique with fast learning curve, and low complications rate.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ankle Brachial Index</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Diabetic Angiopathies - surgery</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Gangrene - surgery</subject><subject>Humans</subject><subject>Leg - blood supply</subject><subject>Leg - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microsurgery</subject><subject>Peripheral Vascular Diseases - surgery</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Flaps</subject><issn>0148-7043</issn><issn>1536-3708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc9O5DAMxiPECgaWN0AoF7Snsk7TtOlxBMMfaSRGuyM4VmnqaII6TUkyLLwDD00QA0h7si3_Plv2R8gxgzMGdfX773RxBi0wjpxJpqrcSL1DJkzwMuMVyF0yAVbIrIKC75ODEB4AWC6Lco_s5wC1ZFBOyOtyhfQOfVDR9ja-UGfowrsR-x49vezVGKhxns7dv1TP7bqlf1C7IUS_0dG6gdqBLpIYhxjovY0rukBvxxV61dOpj6lIyW27FTwhvbABVUB6M9j43ps9jwnCQeNP8sOoPuDRNh6S5eVseX6dzW-vbs6n80znUsSsNIUAkLnqasVBgxA1RwUtL0Ea3hnEqtJK1EJC0RnW6ZIXXQc1dMoUUvBD8utj7Ojd4wZDbNY26HSxGtBtQlNxLmXOeJ3I4oPU3oXg0TSjt2vlXxoGzbsLTXKh-d-FJDvZLti0a-y-RJ9vT8DpFlBBq954NWgbvrlcJNNYyd8AEZGT2A</recordid><startdate>20100201</startdate><enddate>20100201</enddate><creator>JIGA, Lucian P</creator><creator>BARAC, Sorin</creator><creator>TARANU, Georgel</creator><creator>BLIDISEL, Alexandru</creator><creator>DORNEAN, Vlad</creator><creator>NISTOR, Alexandru</creator><creator>STOICHITOIU, Teodora</creator><creator>GEISHAUSER, Max</creator><creator>IONAC, Mihai</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100201</creationdate><title>The Versatility of Propeller Flaps for Lower Limb Reconstruction in Patients With Peripheral Arterial Obstructive Disease Initial Experience</title><author>JIGA, Lucian P ; BARAC, Sorin ; TARANU, Georgel ; BLIDISEL, Alexandru ; DORNEAN, Vlad ; NISTOR, Alexandru ; STOICHITOIU, Teodora ; GEISHAUSER, Max ; IONAC, Mihai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c285t-6f450082ad9a30c05593ea0b3608f3dfee77ca595804df1dc634dd090daf4853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ankle Brachial Index</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Diabetic Angiopathies - surgery</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Gangrene - surgery</topic><topic>Humans</topic><topic>Leg - blood supply</topic><topic>Leg - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microsurgery</topic><topic>Peripheral Vascular Diseases - surgery</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Five patients (average age, 72 years old), presenting with necrosis of several foot units, were diagnosed with stage IV PAOD and diabetes mellitus. All underwent revascularization, followed by soft tissue reconstruction using propeller flaps. A total of 6 flaps were performed, with dimensions ranging from 4 x 7 cm to 8 x 31 cm. Perforator origin was the peroneal (5 flaps) or the tibial posterior artery (1 flap). Average operative time was 190 minutes. Overall patency was 83.3%; 1 case was complicated with total flap loss followed by below-knee amputation; 1 case developed partial necrosis necessitating skin grafting. All flaps developed mild postoperative edema, which resolved spontaneously. Propeller flaps prove to be useful tools for soft tissue reconstruction in patients with PAOD because of low operative morbidity, easy technique with fast learning curve, and low complications rate.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>20098106</pmid><doi>10.1097/SAP.0b013e3181a72f8c</doi><tpages>5</tpages></addata></record> |
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| ispartof | Annals of plastic surgery, 2010-02, Vol.64 (2), p.193-197 |
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| subjects | Aged Aged, 80 and over Ankle Brachial Index Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Diabetic Angiopathies - surgery Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Feasibility Studies Female Gangrene - surgery Humans Leg - blood supply Leg - surgery Male Medical sciences Microsurgery Peripheral Vascular Diseases - surgery Reconstructive Surgical Procedures - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps |
| title | The Versatility of Propeller Flaps for Lower Limb Reconstruction in Patients With Peripheral Arterial Obstructive Disease Initial Experience |
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