Evaluation of Keyston Design Perforator Island Flap in Treatment of Soft Tissue Loss

Dawood, Mohammed Alaa; Tahir, Redha Ali

doi:10.52573/ipmj.2020.167325

	Evaluation of Keyston Design Perforator Island Flap in Treatment of Soft Tissue Loss
Iraqi Postgraduate Medical Journal
Article 7, Volume 19, Issue 4, December 2020, Pages 317-325 PDF (512.51 K)
DOI: 10.52573/ipmj.2020.167325
Authors
Mohammed Alaa Dawood^* ; Redha Ali Tahir
Al-Wasity Teaching Hospital, Baghdad, Iraq
Abstract
BACKGROUND: Closure of skin and soft tissue defects is a main stream procedure in the field of plastic and reconstructive surgery .Keystone perforator island flap is a curvilinear trapezoidal shape. It is essentially elliptical in shape and it is long axis adjacent and parallel to long axis of defect. We focused in this study specifically on pressure ulcer and traumatic wound as an example of chronic and difficult wounds. OBJECTIVE: To evaluate keystone design perforator island flap as reliable versatile method for closure of soft tissue defect. PATIENTS AND METHODS: In this prospective study, keystone perforator island flap applied to 11 patients , 7 of them were pressure ulcer and 4 of them with traumatic soft tissue defect. RESULTS: Keystone flap used in 11 patients in this study , all of patients showed complete flap survival without even minor necrosis, only one patient developed wound dehiscence ,otherwise all patients showed complete recovery without any sequalae. CONCLUSION: Keystone flap is reliable ,safe ,easy to perform ,cost effective flap, with low rate of flap failure and no donor site morbidity, can be used as effective method of wound closure even in chronic and unhealthy wound.
Keywords
keystone; pressure ulcer; island perforator flap

References
References: Ian prate, Wyn Glencross. Wound care at a glance, 1st.ed, Wiley Blakwell, UK, 2015; pp.95. Mary E. Klingensmith et.al. The Washington Mamal of surgery, 7th.ed, Wolter Klumer , Washington , 2016;pp.177. Jeffrey weinzwe.g pl. surgery secret plus, 2nd.ed, Mosby Flsevier, Philadelphia, 2011;pp.6. Ben Jamin Ascher , Marina Landan , Bernard Rossi . Injection treatments in cosmetic surgery , 1st.ed ,informa healthcare UK, 2009 ; pp.12. Fuchan Wei, Samir Maridini . Flaps and reconstructive surgery, 1st.ed, Saunders Elsevier, 2009; pp.8, 17. Chunlin Hon, Shimin ch. , Jian Lin , Dayiang Song surgical atlas of perforartor flap , 1st.ed, springer , New Yourk , 2015;pp.2. Felix Behan, Michael Findlay, ch. tiean Lo. The keystone perforator island flap concept, 1st.ed, western health, churchil livingstone Elsevier , Sydney , 2012; pp. 8,11,13,31. Satish P.Bhate. Keystone flap in coloured skin flap technology for the Mosses, Indian, Journal of plastic surgery, 2016; 46(1):36-47. Gentur sted Jatmiko, sweety pribadi, Lauveen supit. Random perforator flap: some experience with keystone flap, Journal plastic Rekonstruksi , 2015; 2(2):42-46. Philippe Pelissier et.al. The keystone design perforator island flap.Part II: clinical application. Journal of plastic, Rconstructive and Aesthetic surgery, 2007; 60:888-891. Felix C. Behan. The keystone design perforator island flap in reconstructive surgery, ANZJ.Surg.2003; 73:112-120. Hwan Byun et.al The keystone flap in greater trochanter pressure sore , ARMS, 2016 ;25(2):72-74 Jill P. Stone et.al Avoiding skin graft: The keystone flap in cutaneous defect, plastic and reconstructive surgery, 2015; 136(2):404-405.
Statistics Article View: 106 PDF Download: 86