A simple concept for covering pressure sores: wound edge-based propeller perforator flap.
We present a new surgical modification to allow propeller perforator flaps to cover pressure sores at various locations. We used a propeller perforator flap concept based on the detection of newly formed perforator vessels located 1 cm from the wound margin and stimulated by the chronic inflammation process. Between January 2009 and January 2017, 33 wound edge-based propeller perforator flaps were used to cover pressure sores at various locations in 28 patients. In four cases more than one flap was used on the same patient. The patients comprised 18 males and 10 females with a mean age of 41·25 (range, 16-70) years. All patients underwent follow-up for 0-12 months. The mean follow-up duration was 5·03 months. Venous congestion was observed in three flaps that were rotated by 180° (9·1%). However, there was a significant difference between flaps rotated by 90° and 180° according to the complication rate (P = 0·034). Out of 33 flaps, 29 flaps healed uneventfully. Patients were able to sit and lie on their flaps three weeks after surgery. In our study, we were able to obtain satisfying final results using these novel flaps.
['Kelahmetoglu|Osman|O|', 'Van Landuyt|Koenraad|K|', 'Yagmur|Caglayan|C|', 'Sommeling|Casper E|CE|', 'Keles|Musa K|MK|', 'Tayfur|Volkan|V|', 'Simsek|Tekin|T|', 'Demirtas|Yener|Y|', 'Guneren|Ethem|E|']
D000293:Adolescent D000328:Adult D000368:Aged D015331:Cohort Studies D005260:Female D006801:Humans D008297:Male D008875:Middle Aged D061525:Perforator Flap D003668:Pressure Ulcer D019651:Reconstructive Surgical Procedures D016896:Treatment Outcome D014945:Wound Healing D055815:Young Adult
Pressure sore Propeller Perforator flap Wound edge