Pedicle perforatorflaps are believed to be a less invasive option with better cosmesis.
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Background: The use of pedicled perforatorflaps provides an alternative to free tissue transfer for lower limb reconstruction.
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We use computer-aided image analysis to investigate the versatility of pedicled perforatorflaps for the reconstruction of lower limb defects.
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Image analysis showed that these pedicled perforatorflaps could cover 75% of the surface area of the lower leg.
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Reduced operation times and complication rates together with faster mobilisation, after introduction of perforatorflaps, call for less comprehensive antithrombotic regimens.
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But now with an increased knowledge of angiosomes and the practice of perforatorflaps, the posterior trunk offers a new plethora of options for reconstruction.
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Methods: A retrospective review identified 27 flaps in 16 patients who underwent vulvar reconstruction after cancer surgery using island pedicled perforatorflaps.
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Perforatorflaps have recently been introduced in knee coverage with significant advantages due to low donor morbidity and long pedicles with wide arc of rotation.