What is safe limit of the perforator flap in lower extremity reconstruction? Do we have answers yet?

Plastic Surgery International
Nikhil S PanseMangesh S Tandale

Abstract

We make an attempt to define the safe extent of local perforator flap for lower limb reconstruction by comparing it with the limb length of the patient. The maximum flap length from the perforator was compared to the limb length in 35 patients using EPI info 6.04 D software. On comparison of flaps that were less than one-third of limb length to those which were more than one-third of limb length, the statistical values were significant. The odds ratio calculated was 6, which means that there is a six times more chance that a local perforator flap will necrose if it is more than one-third of the limb length as compared to a flap which is less than one-third of the limb length.

References

Jan 1, 1990·British Journal of Plastic Surgery·G I TaylorG McCarten
Jan 10, 2001·Plastic and Reconstructive Surgery·S C Dhar, G I Taylor
Feb 8, 2002·The Orthopedic Clinics of North America·Bruce French, Paul Tornetta
Mar 5, 2003·Microsurgery·Murat TopalanS P Chow
Aug 13, 2005·British Journal of Plastic Surgery·S GhaliU Khan

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Citations

Jul 6, 2014·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Nikhil Panse, Parag Sahasrabudhe
Jun 26, 2020·Journal of Reconstructive Microsurgery·Carol E SoteropulosSamuel O Poore

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Methods Mentioned

BETA
dissection
dissecting

Software Mentioned

EPI info

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