Use of Propeller Flap in the Coverage of Soft-Tissue Injury in the Lower Limb.
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.
['Valente|Adison de Souza|AS|0000-0003-0516-4322', 'de Borba|Denis Ferreira|DF|0000-0003-0121-6703', 'de Resende|Daniel Ribeiro|DR|0000-0002-0684-4015', 'Resende|Meyrelles Rodrigues|MR|0000-0003-2650-7873', 'Goulart|Ricardo Gouvea|RG|0000-0001-8730-2877', 'Lima|Sérgio José de|SJ|0000-0001-9327-8703']
lower extremity perforator flap soft tissue injuries