An useful technical trick to reduce the pedicle twisting in propeller flaps: the polar safety stitch (PSS)

An useful technical trick to reduce the pedicle twisting in propeller flaps: the polar safety... The rotation of the flap pedicle is usually discouraged in reconstructive surgery because it could affect the patency of both the pedicle artery and vein. Propeller flaps usually require pedicle rotations of 180°, raising the risk of venous and arterial occlusion. We present a technical trick which consists of a serial rotation of the perforator flap, reducing the rotation angle of the pedicle, thus reducing also the effective strain and stress. We applied this technique on seven propeller flaps in seven patients, from July 2010 to April 2012. The patients healed without relevant complications and further surgical procedures. Neither partial nor complete necrosis of the flap was observed. In one case, suture dehiscence along with partial graft take at the flap donor site occurred; in another case, a mild venous congestion was observed and healed uneventfully in 2 days. Our technique in positioning propeller flaps is able to reduce the twisting of the pedicle, issue which affects the patency of both pedicle artery and vein. This trick reduces the odds of flap ischemia. In our case series, flap necrosis, both partial and complete, was not observed. This technical trick is able to make propeller flaps more reliable and extensively applicable, especially in lower limbs and extensive trauma, where tissue elasticity is reduced leaving unaltered the reconstructive potential of propeller flaps. Level of Evidence: Level V, therapeutic study. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

An useful technical trick to reduce the pedicle twisting in propeller flaps: the polar safety stitch (PSS)

Loading next page...
 
/lp/springer_journal/an-useful-technical-trick-to-reduce-the-pedicle-twisting-in-propeller-uIi0mKeP1r
Publisher
Springer-Verlag
Copyright
Copyright © 2013 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-012-0766-3
Publisher site
See Article on Publisher Site

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$49/month

Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$588

$360/year

billed annually
Start Free Trial

14-day Free Trial