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      Propeller Flaps of the Lower Extremity.

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          Abstract

          Wounds of the lower extremity involving the distal third of the leg remain a significant challenge due to anatomic location and often poor host physiology. Perforator-based propeller flaps may provide rapid coverage of these wounds with a relatively low rate of major complications and often readily managed minor complications. A thorough vascular evaluation must be performed prior to the procedure to ensure adequate flap design and selection of the correct perforator is performed. They have the added advantage over their soft tissue free flap counterparts in that they have significantly less host morbidity with similar rates of total necrosis.

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          Author and article information

          Journal
          Clin Podiatr Med Surg
          Clinics in podiatric medicine and surgery
          Elsevier BV
          1558-2302
          0891-8422
          Oct 2020
          : 37
          : 4
          Affiliations
          [1 ] University of Cincinnati Medical Center, 231 Albert Sabin Way, ML 0513, Cincinnati, OH 45276, USA.
          [2 ] Plastic and Reconstructive Surgery, OSF Saint Anthony Medical Center, 698 Featherstone Road. Rockford, IL 61107, USA.
          [3 ] Foot and Ankle Surgery, Reconstructive Plastic and Microsurgery, and Limb Salvage, Musculoskeletal Infection and Orthopaedic Trauma, Rubin Institute for Advanced Orthopedics, International Center for Limb Lengthening, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215-5216, USA.
          [4 ] University of Cincinnati Medical Center, Cincinnati Veteran Affairs Medical Center, 231 Albert Sabin Way, ML 0513, Cincinnati, OH 45276, USA. Electronic address: masadesb@uc.edu.
          [5 ] Suez Canal University Hospitals and Medical School, Ismailia 41522, Egypt.
          Article
          S0891-8422(20)30075-6
          10.1016/j.cpm.2020.06.001
          32919600
          63f4164e-62e0-4410-930b-2dedeb6799b7
          History

          Propeller flap,Fasciocutaneous,Limb salvage,Lower limb reconstruction,Perforator,Ulceration

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