Title

Sequential use of a true perforator flap and its corresponding muscle flap.

Publication/Presentation Date

12-1-2003

Abstract

A true perforator flap completely spares the underlying muscle that was previously required as essentially a passive carrier of that musculocutaneous unit. Thus, a perforator flap and its related muscle can now be simultaneously transferred as independent but conjoint flaps based on the same source pedicle, or sometimes also in a metachronous fashion if the requisite source vessels remain intact. The latter principle proved feasible after failure of 2 medial sural perforator flaps that were subsequently successfully replaced by a conventional medial gastrocnemius muscle flap. At least theoretically, depending on the extent of intramuscular dissection, another advantage that can be applied to all perforator flaps is that the muscle can be held in reserve for sequential use as necessary.

Volume

51

Issue

6

First Page

617

Last Page

620

ISSN

0148-7043

Disciplines

Medicine and Health Sciences

PubMedID

14646661

Department(s)

Department of Surgery

Document Type

Article

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