Outcome of perforator propeller flap for the coverage of soft tissue defects over middle and distal part of leg

Authors

  • M. Nazrul Hossain Mullah Department of Plastic Surgery, Sheikh Hasina National Institute of Burn and Plastic Surgery, Dhaka, Bangladesh
  • M. Ruhul Amin Department of Plastic Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • M. Noor-E-Alam Department of Plastic Surgery, Sheikh Hasina National Institute of Burn and Plastic Surgery, Dhaka, Bangladesh
  • Istiaq Sultan Department of Plastic Surgery, Sheikh Hasina National Institute of Burn and Plastic Surgery, Dhaka, Bangladesh
  • Mosabbir Ahmad Khan Department of Plastic Surgery, Bangabandhu Sheikh Mujib Medical College Hospital, Faridpur, Bangladesh
  • Lailun Nahar Department of Plastic Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Hasan Nazir Uddin Department of Plastic Surgery, Enam Medical College Hospital, Dhaka, Bangladesh
  • Tanveer Ahmed Department of Plastic Surgery, Sheikh Hasina National Institute of Burn and Plastic Surgery, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/2320-6012.ijrms20240829

Keywords:

Distal leg, Flap viability, Perforator propeller flap, Soft tissue defects, Surgical technique

Abstract

Background: Plastic surgery is a constant battle between blood supply and beauty. The end result of a reconstructive procedure is primarily attributable to the stability of the vascular component, which is fundamental in that it ensures survival and proper functioning of tissues that have been transferred to the recipient site. The aim of the study was to evaluate the clinical outcome of perforator propeller flap for coverage of soft tissue defects in middle and distal legs.

Methods: This was a prospective observational study and was conducted in the Department of Plastic Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh during the period from September 2018 to February 2020. The study population includes the total of 30 patients having soft tissue defects of the middle and distal thirds of leg necessary for flap coverage in the Department of Plastic Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh.

Results: In total 30 patients maximum 11 (36.7%) were in 31-40 years age group. Majority 27 (90%) were male and 3 (10%) were female in our study. Out of 22 flaps in distal leg necrosis occurred in 4 (18.19%) and among 8 flaps in middle leg necrosis occurred in 1 (12.5%).

Conclusions: This study observed that that perforator propeller flaps are ideal in reconstructing soft tissue defects of the middle and distal third of the leg, being safe, easy to perform, providing similar tissue in texture and thickness of damaged tissues, with low donor site morbidity.

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Published

2024-03-29

How to Cite

Nazrul Hossain Mullah, M., Ruhul Amin, M., Noor-E-Alam, M., Sultan, I., Khan, M. A., Nahar, L., Uddin, H. N., & Ahmed, T. (2024). Outcome of perforator propeller flap for the coverage of soft tissue defects over middle and distal part of leg. International Journal of Research in Medical Sciences, 12(4), 1083–1088. https://doi.org/10.18203/2320-6012.ijrms20240829

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Original Research Articles