The use of modified keystone flap in periarticular or large superficial tumor resection surgery.

Journal of Surgical Oncology
Shuo FangChao Yang

Abstract

The keystone design perforator island flap (KDPIF) is often used to cover defects in reliable blood supply and similar skin patterns, but its mobility is limited, especially when the wound is large or occurs around joints. Here, we describe a modified KDPIF, boat-shaped flap. We added a V shape along the lateral arc, forming a V-Y flap on KDPIF's outer arc shapes like a sail. This paper also describes a clinical study to evaluate this method. From September 2014 to March 2017, 31 patients were operated on using the boat-shaped flap in our department and were followed up annually with clinical evaluation. The wound locations included joints (n = 11), trunk (n = 18), and face (n = 2). Fifteen defects were ≥5 × 5 cm2 . After 6 to 24 months of follow-up, 29 patients had first-intention healing and were satisfied with the morphology and function. Secondary healing was observed in two patients, and the wounds were closed after dressing treatment for 2 weeks. The boat-shaped flap enhances the mobility and achieves strong resistance to tension. The modified curvilinear shape prevents the joint activity from being restricted, with visually concealed scars. It is particularly applicable for repairing large wounds and defects around joints.

References

Mar 1, 2003·ANZ Journal of Surgery·Felix C Behan
May 12, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Philippe PelissierFelix C Behan
Apr 28, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Matthew J GutmanR Andrew Danks
Mar 1, 2012·Plastic and Reconstructive Surgery·Jeremy L WilsonFelix C Behan
Jun 30, 2012·Plastic and Reconstructive Surgery·Felix C BehanMichael Findlay
Sep 15, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Felix C BehanMichael W Findlay
Jan 12, 2013·ANZ Journal of Surgery·Felix C BehanPeter Grant
Sep 21, 2013·ANZ Journal of Surgery·Ramin Shayan, Felix C Behan
Feb 3, 2015·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Schapoor HessamFalk G Bechara
Jul 9, 2016·The Journal of Craniofacial Surgery·Epameinondas KostopoulosVincent Casoli
Aug 31, 2016·The Indian Journal of Surgery·Yuhang Sun
Mar 16, 2017·Plastic and Reconstructive Surgery. Global Open·Hytham JamjoomYasser Almadani

❮ Previous
Next ❯

Citations

Jan 13, 2021·Journal of Surgical Oncology·Bruno Di Pace, Corrado Rubino
Jan 13, 2021·Journal of Surgical Oncology·Weiya TangChao Yang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery
Minliang WuChunyu Xue
Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Christopher DonaldsonR Andrew Danks
Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Matthew J GutmanR Andrew Danks
© 2021 Meta ULC. All rights reserved