Propeller Flaps in Hand Reconstruction

Abstract

Introduction: Perforator flaps increasingly find acceptance and use in hand reconstructive surgery, but they are more prone to vascular compromise when are twisted more than 90 grade. It is now possible to design propeller flaps based on a single perforator, so-called “perforator-based propeller flaps.” These flaps permit flap rotation up to 180°. We present the results of hand complex tissue reconstruction using perforator-based propeller flaps. We constructed a treatment strategy and some tricks based on the location of the soft tissue defect and the perforator anatomy to increase flap survival.