Keystone design perforator island flap: our experience for coverage of lower limb defects

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL

Bangladesh Journal of Medical Science Pub Date : 2023-09-07 DOI:10.3329/bjms.v22i4.67117

Md Salek Bin Islam, Md. Zalal Uddin, Md Ahsan Habib, Md Mahbubur Rahman, Foara Tasmim, MA Kalam, Ms Zebun Nahar

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Abstract

The fusion of concept of perforasome and trapezoid design made Keystone design Perforator Island flap (KDPIF). This flap was first introduced by Behan in 2003 and since then many modifications were done. Keeping the principles of KDPIF, two modifications were done in this study. Aims: to determine reliability and advantages of KDPIF for lower limb defect coverage. Materials and Methods:15 cases were done in Plastic surgery department of Rajshahi Medical College Hospital from October 2020 to September 2022. Results: The largest wound measuring 11X 10 cm2 on thigh defect following wide local excision of sarcoma was covered by the largest dimension flap measuring 16X 11 cm2. In most of the cases (7 cases), Type IIA KDPIF was done. With co-morbidities, 14 flaps survived without any complications. Range operating time was 35-110 minutes. Conclusion: Due to its reliable vascularity and easy execution and good outcomes, KDPIF is one of the best choices for lower limb defect coverage. Bangladesh Journal of Medical Science Vol. 22 No. 04 October’23 Page : 920-925

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拱心石设计穿支岛状皮瓣修复下肢缺损的经验

拱心石设计将穿孔体与梯形设计的概念融合，形成了穿孔岛皮瓣。2003年，Behan首次引入了这种襟翼，此后进行了多次修改。在保留KDPIF原则的基础上，本研究对其进行了两处修改。目的:确定KDPIF在下肢缺损覆盖中的可靠性和优势。材料与方法:于2020年10月至2022年9月在拉杰沙希医学院附属医院整形外科完成15例手术。结果:大面积局部切除后的大腿缺损最大创面为11x10cm2，皮瓣覆盖面积为16x11cm2。多数病例(7例)行IIA型KDPIF。有合并症，14个皮瓣存活，无任何并发症。作业时间35-110分钟。结论:KDPIF具有血管稳定、操作简便、效果好等优点，是修复下肢缺损的最佳选择之一。孟加拉国医学杂志，第22卷第4期，23年10月，第920-925页

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