Role Closed Incision Negative Pressure Therapy in the Management of Keystone Flap in Lower Limb Defect

Neljo Thomas,K Sriharsha Reddy,Ravi Kumar Chittoria

doi:10.52916/jmrs224070

Abstract

The keystone flap is a new flap design that has been added to the arsenal of cosmetic surgeons. The keystone flap is a type of flap that can be used to close soft tissue abnormalities using the local skin. It can be employed in a variety of situations. In the care of a keystone flap to repair a deficiency over the lower limb defect following a road traffic accident, we used closed incision negative pressure therapy.

Highlights

Negative pressure wound therapy has changed the way of managing acute and chronic wounds [1,2]
In the care of a keystone flap to repair a deficiency over the lower limb defect following a road traffic accident, we used closed incision negative pressure therapy
In recent years negative pressure therapy has been tried for wound that has been surgically closed primarily, especially in cases that are at high risk of Surgical Site Infection (SSI) [3,4]

Summary

Introduction

Negative pressure wound therapy has changed the way of managing acute and chronic wounds [1,2]. In recent years negative pressure therapy has been tried for wound that has been surgically closed primarily, especially in cases that are at high risk of Surgical Site Infection (SSI) [3,4]. In this article we share our experience of Closed Incision Negative Pressure Wound Therapy (ciNPWT) in keystone flap in lower limb trauma. The keystone island flap offers both the robust vascularity of perforator flaps and relative ease and speed of local tissue rearrangement. Other advantages of this technique include short operative time, high reproducibility, ease of use and local tissue aesthetic similarities. This technique possibly obviates the need for microsurgical procedures, additional skin grafts, and extensive operative time

Methods

Conclusion