Useful Flaps for Plastic Surgeons to Know | Journal CME Article-Journal CME Article: Useful Flaps for Plastic Surgeons to Know (Video 4)

Journal CME Article: Useful Flaps for Plastic Surgeons to Know (Video 4)

Video Transcription

Video Summary

In this procedure, an exploratory incision is used to inspect the perforator before designing a propeller flap for a lower leg defect. The flap is based on the posterior tibial system, with the fascia divided to reveal the perforator. It’s critical to dissect down to the source vessel for a gentle rather than acute twist when rotating the flap. The Doppler device is used to monitor the perforator during dissection and flap rotation. Rotating the flap in both directions is advised to determine optimal placement. Finally, the flap is inset after rechecking with the Doppler.

Keywords

propeller flap

perforator

posterior tibial system

Doppler device

lower leg defect