OUR EXPERIENCE WITH PROPELLER FLAP
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2014, Vol 1, Issue 7
Abstract
Propeller flap is based on a vascular pedicle supplying a fascio cutaneous island of skin. It is used to reconstruct soft tissue defects. Flexion contractures are aesthetically deforming post burns sequalae. Various techniques are used to relieve the contractures such as V-Y plasty, X plasty and Z plasties. A propeller flap can also be used to relieve the contractures. Thus there is a need to study the effectiveness of propeller flap in reliving flexion contractures in comparison with conventional V-Y plasty, X plasty and Z plasties in terms of adequacy of release, coverage of vital areas, technical ease, splintage times, patient morbidity, aesthetics and flap survival. METHODS: 20 Patients with post burn flexion contractures of durations varying from 1-3 years were randomly selected. Release of the flexion contractures with subsequent cover of the raw areas thus created, with the propeller flap. No prospective comparative study was undertaken using other means of coverage. RESULTS: 1. Adequacy of release superior to Z plasty, compares with V-Y plasty, X plasty, inferior to SSG especially in deep contractures. 2. Coverage of vital areas superior to all techniques. 3. Technical ease compares favorably with all techniques. 4. Splintage times are obviated unless muscles are involved. 5. Aesthetics superior to SSG. 6. Flap survival is superior to all methods. CONCLUSIONS: Propeller flaps have a very good potential for release of flexion contractures compared to conventional techniques.
Authors and Affiliations
Mohan Mohan, Nagarjuna T. R.
Keywords
Related Articles
- EP ID EP221434
- DOI 10.18410/jebmh/2014/84
- Views 90
- Downloads 0
BILATERAL SIMULTANEOUS ANTERIOR AND POSTERIOR LENTICONUS WITHOUT SYSTEMIC SIGNS
A 21 year male came for eye checkup with a refractive error OD -12.00 sph, - 2.25 @ 160° cyl and OS -15.00 sph, -2.50 @ 5°cyl and was referred to department of refractive surgery for opinion His BCVA in OD 6/18, OS 6/ 24...
THE PREVALENCE OF INCREASED LEFT VENTRICULAR MASS AND RENAL DYSFUNCTION IN RECENTLY DIAGNOSED HYPERTENSION PATIENTS- A CROSS-SECTIONAL STUDY
BACKGROUND In this study, we aim to study the prevalence of increased left ventricular mass and renal dysfunction in recently diagnosed hypertension patients attending BP clinic. MATERIALS AND METHODS A cross-sectional s...
HAEMOGLOBIN LEVEL AS A RISK FACTOR FOR LOWER RESPIRATORY TRACT INFECTIONS
BACKGROUND Lower Respiratory Tract Infection (LRTI) is an inflammation of the airways, pulmonary tissue below the larynx level. Children who are below 5 years of age suffer about 5-6 episodes of LRTI per year on an avera...
CLINICAL AND DEMOGRAPHIC PROFILE OF PATIENTS DIAGNOSED AS BRONCHIAL ASTHMA IN A TERTIARY CARE CENTRE
BACKGROUND Bronchial asthma is a chronic inflammatory disease of the air ways and is of heterogenous aetiology characterized by episodes of wheeze, chest tightness, cough and shortness of breath. It is one of the most co...
EFFECT OF PMR ON SOMATIC AND PSYCHOLOGICAL SYMPTOMS OF PREMENSTRUAL SYNDROME
BACKGROUND The objectives of this study were1. To evaluate somatic and psychological symptoms of premenstrual syndrome and 2. To validate the efficacy of progressive muscular relaxation in relieving the symptoms of PMS....