Study of the Effect of the Dissected Length and Diameter of Perforators and the Angle of Rotation on Blood Flow in the Radial Artery Perforator-Based Propeller Flaps
Bendary, M., M Affifi, S., Sakr, H., Mahmoud, H., Amr, A. (2020). Study of the Effect of the Dissected Length and Diameter of Perforators and the Angle of Rotation on Blood Flow in the Radial Artery Perforator-Based Propeller Flaps. EKB Journal Management System, 44(4), 519-525. doi: 10.21608/ejprs.2020.140020
Mohamed S Bendary; Salah Nasser M Affifi; Hossam Sakr; Hany S Mahmoud; Adel Hussein S Amr. "Study of the Effect of the Dissected Length and Diameter of Perforators and the Angle of Rotation on Blood Flow in the Radial Artery Perforator-Based Propeller Flaps". EKB Journal Management System, 44, 4, 2020, 519-525. doi: 10.21608/ejprs.2020.140020
Bendary, M., M Affifi, S., Sakr, H., Mahmoud, H., Amr, A. (2020). 'Study of the Effect of the Dissected Length and Diameter of Perforators and the Angle of Rotation on Blood Flow in the Radial Artery Perforator-Based Propeller Flaps', EKB Journal Management System, 44(4), pp. 519-525. doi: 10.21608/ejprs.2020.140020
Bendary, M., M Affifi, S., Sakr, H., Mahmoud, H., Amr, A. Study of the Effect of the Dissected Length and Diameter of Perforators and the Angle of Rotation on Blood Flow in the Radial Artery Perforator-Based Propeller Flaps. EKB Journal Management System, 2020; 44(4): 519-525. doi: 10.21608/ejprs.2020.140020

Study of the Effect of the Dissected Length and Diameter of Perforators and the Angle of Rotation on Blood Flow in the Radial Artery Perforator-Based Propeller Flaps

The Egyptian Journal of Plastic and Reconstructive Surgery
Article 8, Volume 44, Issue 4, October 2020, Page 519-525  XML PDF (10.18 MB)
Document Type: Research article
DOI: 10.21608/ejprs.2020.140020
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Authors
Mohamed S Bendary* 1; Salah Nasser M Affifi2; Hossam Sakr3; Hany S Mahmoud4; Adel Hussein S Amr4
1The Department of Plastic & Reconstructive Surgery, Al-Ahrar Teaching Hospital in Zagazig
2The Department of Plastic & Reconstructive & Maxillofacial Surgery Ain-Shams University
3The Department of Radiology , Ain-Shams University
4The Department of Plastic, Burn & Maxillofacial Surgery , Ain-Shams University
Abstract
Background: Soft tissue defects in the hand can result
from a varietyof mechanisms including trauma, infection, and
malignant tumors. Propeller flaps have become an appealing
option for coverage of a large range of defects. The aim of
this study is to determine the effect of dissected length of the
perforator and its diameter and the angle of rotation or twisting
of the flap on the blood flow in this chosen perforator and
the flap vascularity.
Methods: Thirty cases of skin and soft tissue defects of
the hand and wrist were reconstructed with a perforator-based
propeller flap from the radial artery in the period from May
2016 to November 2019. The age of patients ranged from 15
to 60 years. The defects were on the dorsal or palmer aspect
of the hand and wrist. We evaluated the viability of the
flap,blood velocity and flow of the flap, survived area of the
flap according to length and diameter of the chosen perforator
and the angle of rotation of the flap.
Keywords
Radial artery; Propeller flap; Hand and Wrist
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