Background: Venous congestion is a frequent problem in flap surgery. Other than surgical
revision, there are a multitude of procedures in the literature to tackle this problem, but their …

Soft tissue coverage in the distal lower extremity remains a significant challenge. While free
flaps are often utilized for larger defects, local perforator‐based propeller flaps may be ideal …

Background: Perforator flaps have increased in use, with advantages such as sparing of the
underlying muscle with resultant decreased donor-site morbidity and the possibility of …

Background: Despite the widespread use of free perforator flaps, pedicled perforator flaps
seem not to be as widely accepted, probably because of the fear of vascular complications …

The propeller-type flap design is increasingly used in reconstructive surgery for various
regions of the body. To date, determinants of perforator patency when subjected to twisting …

BACKGROUND: Defect reconstruction according to the free-style concept applied to
perforator flaps allows flap harvesting in any anatomical region where an audible Doppler …

Background: The dorsal metacarpal artery perforator flap is a versatile solution for
resurfacing soft-tissue defects of fingers. The authors present their experience in applying …

PURPOSE: A propeller flap is an island flap that moves from one orientation to another by
rotating around its vascular axis. The vascular axis is stationary, and flap movement is …

Background Gunshot injury to the hand is severe trauma, requiring complicated
reconstruction surgery for the damaged anatomic site to restore all the hand functions. The …

A soft-tissue defect over an infected total knee replacement (TKR) presents a difficult
technical problem that can be treated with a gastrocnemius flap, which is rotated over the …