Keystone Flap: Versatile Flap for Reconstruction of Limb Defects
Background: There is always a constant search for a new solution to tackle defects in the limbs. The technique has to be simple, easily reproducible and performed within a short duration. The answer is keystone island flap keystone flap is a simple, less time consuming, durable and easily reprod...
Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2015-03-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/5631/12595_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf |
Summary: | Background: There is always a constant search for a new solution
to tackle defects in the limbs. The technique has to be simple,
easily reproducible and performed within a short duration. The
answer is keystone island flap keystone flap is a simple, less time
consuming, durable and easily reproducible option to reconstruct
most of the limb defects.
Aim:The aim of this article is to study the usefulness of keystone
flap in reconstruction of various upper and lower limb defects.
Materials and Methods: This retrospective review involves study
of 20 patients undergoing keystone flap reconstruction for various
defects from 2012 to 2014. Patient demographic data, medical
histories, comorbidities, surgical indications, defect characteristics
and locations, hospitalization, complications and follow-up were
evaluated and are presented as uncontrolled case series.
Results: Ages of the patients were ranging from 18 to 65 y with
an average of 38.75y. Among the defects, 10 were following
trauma (50%), 5 were due to tumour resection (25%), 3 followed
debridement of abscess (15%) and another 2 defects were due
to surgical wound dehiscence (10%). The largest defect covered
by this flap in our study measured 45 x 18 cm and the smallest
defect was 8 x4 cm. The average intra-operative time was 45.5
min (range 20-90 min). Fourteen flaps were done to cover lower
limb defects (70%), 4 for upper limb defects and 2 were for defects
in the axilla. Partial flap necrosis was observed in one case. The
average duration of hospital stay of patients was 3.45 d. All
patients were followed until they achieved stable, healed wound.
The overall success rate was 95%.
Conclusion: Keystone flap can be safely used to cover various limb
defects with minimal pain, a sensate cover and excellent cosmetic
outcome, minimizing the need for microsurgical techniques or
prolonged operative time. |
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ISSN: | 2249-782X 0973-709X |