Use of Propeller Flap in the Coverage of Soft-Tissue Injury in the Lower Limb
Abstract Objective To evaluate the use of a propeller flap to cover soft-tissue injuries in the lower limb. Materials and Methods A retrospective study, with review of medical records, and a convenience sample of 14 patients operated between July 2018 and June 2019. The following clinical aspects...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2021-06-01
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| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000200192&tlng=pt |
| _version_ | 1827295051694211072 |
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| author | Adison de Souza Valente Denis Ferreira de Borba Daniel Ribeiro de Resende Meyrelles Rodrigues Resende Ricardo Gouvea Goulart Sérgio José de Lima |
| author_facet | Adison de Souza Valente Denis Ferreira de Borba Daniel Ribeiro de Resende Meyrelles Rodrigues Resende Ricardo Gouvea Goulart Sérgio José de Lima |
| author_sort | Adison de Souza Valente |
| collection | DOAJ |
| description | Abstract Objective To evaluate the use of a propeller flap to cover soft-tissue injuries in the lower limb. Materials and Methods A retrospective study, with review of medical records, and a convenience sample of 14 patients operated between July 2018 and June 2019. The following clinical aspects were evaluated: sex; age group; type of injury; cause of the injury; initial diagnosis; affected location; techniques for incision and identification; surgical planning; flap design; postoperative period; result of the propeller flap; and complications. Results The sample was composed of male patients (100%), with a mean age of 36.4 years, and 92.7% of the injuries resulted from motorcycle accidents, mostly on the right side (71.4%). The surgical planning of the propeller flap followed the same procedure in all cases. Immediate postsurgical complications were present in 35.7% of the cases, and they included excessive bleeding (14.3%), partial necrosis (14.3%), and flap dehiscence (7.1%). In total, 13 patients had excellent coverage, and only 1 had flap loss. Conclusion The propeller-flap technique to cover lesions in the lower limb proved to be a good alternative in most cases evaluated, with a good surgical result, although complications were observed in some cases. |
| first_indexed | 2024-03-08T08:07:52Z |
| format | Article |
| id | doaj.art-cbe0256b1ee9444095f409da397bed60 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-04-24T14:13:24Z |
| publishDate | 2021-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-cbe0256b1ee9444095f409da397bed602024-04-03T08:58:25ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-43782021-06-0156219219710.1055/s-0040-1714223Use of Propeller Flap in the Coverage of Soft-Tissue Injury in the Lower LimbAdison de Souza Valentehttps://orcid.org/0000-0003-0516-4322Denis Ferreira de Borbahttps://orcid.org/0000-0003-0121-6703Daniel Ribeiro de Resendehttps://orcid.org/0000-0002-0684-4015Meyrelles Rodrigues Resendehttps://orcid.org/0000-0003-2650-7873Ricardo Gouvea Goularthttps://orcid.org/0000-0001-8730-2877Sérgio José de Limahttps://orcid.org/0000-0001-9327-8703Abstract Objective To evaluate the use of a propeller flap to cover soft-tissue injuries in the lower limb. Materials and Methods A retrospective study, with review of medical records, and a convenience sample of 14 patients operated between July 2018 and June 2019. The following clinical aspects were evaluated: sex; age group; type of injury; cause of the injury; initial diagnosis; affected location; techniques for incision and identification; surgical planning; flap design; postoperative period; result of the propeller flap; and complications. Results The sample was composed of male patients (100%), with a mean age of 36.4 years, and 92.7% of the injuries resulted from motorcycle accidents, mostly on the right side (71.4%). The surgical planning of the propeller flap followed the same procedure in all cases. Immediate postsurgical complications were present in 35.7% of the cases, and they included excessive bleeding (14.3%), partial necrosis (14.3%), and flap dehiscence (7.1%). In total, 13 patients had excellent coverage, and only 1 had flap loss. Conclusion The propeller-flap technique to cover lesions in the lower limb proved to be a good alternative in most cases evaluated, with a good surgical result, although complications were observed in some cases.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000200192&tlng=ptsoft tissue injuriesperforator flaplower extremity |
| spellingShingle | Adison de Souza Valente Denis Ferreira de Borba Daniel Ribeiro de Resende Meyrelles Rodrigues Resende Ricardo Gouvea Goulart Sérgio José de Lima Use of Propeller Flap in the Coverage of Soft-Tissue Injury in the Lower Limb Revista Brasileira de Ortopedia soft tissue injuries perforator flap lower extremity |
| title | Use of Propeller Flap in the Coverage of Soft-Tissue Injury in the Lower Limb |
| title_full | Use of Propeller Flap in the Coverage of Soft-Tissue Injury in the Lower Limb |
| title_fullStr | Use of Propeller Flap in the Coverage of Soft-Tissue Injury in the Lower Limb |
| title_full_unstemmed | Use of Propeller Flap in the Coverage of Soft-Tissue Injury in the Lower Limb |
| title_short | Use of Propeller Flap in the Coverage of Soft-Tissue Injury in the Lower Limb |
| title_sort | use of propeller flap in the coverage of soft tissue injury in the lower limb |
| topic | soft tissue injuries perforator flap lower extremity |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000200192&tlng=pt |
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