Adipofascial Extension of the Propeller Perforator flap: achieve two things at one stroke

Perforator-Pedicled Propeller(PPP) Flap has been widely accepted for reconstruction of soft tissue defects as it requires a simple operative technique and has a consistent vascular pedicle1. However, according to a systematic review and meta-analysis2, the donor site was only self-closing in 69.7 percent (154 of 221), and covered by a skin graft in 30.3 percent of the cases (67 of 221). Besides, for patients with dead space infection of the defects, the regular PPP flap is difficult to achieve satisfactory results.

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