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A simple concept for covering pressure sores : wound edge-based propeller perforator flap

(2017) INTERNATIONAL WOUND JOURNAL. 14(6). p.1183-1188
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Abstract
We present a new surgical modification to allow propeller perforator flaps to cover pressure sores at various locations. We used a propeller perforator flap concept based on the detection of newly formed perforator vessels located 1 cm from the wound margin and stimulated by the chronic inflammation process. Between January 2009 and January 2017, 33 wound edge-based propeller perforator flaps were used to cover pressure sores at various locations in 28 patients. In four cases more than one flap was used on the same patient. The patients comprised 18 males and 10 females with a mean age of 4125 (range, 16-70) years. All patients underwent follow-up for 0-12 months. The mean follow-up duration was 503 months. Venous congestion was observed in three flaps that were rotated by 180 degrees (91%). However, there was a significant difference between flaps rotated by 90 degrees and 180 degrees according to the complication rate (P = 0034). Out of 33 flaps, 29 flaps healed uneventfully. Patients were able to sit and lie on their flaps three weeks after surgery. In our study, we were able to obtain satisfying final results using these novel flaps.
Keywords
TECHNICAL TIPS, RECONSTRUCTION, MUSCLE, VEGF, Perforator flap, Pressure sore, Propeller, Wound edge

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Citation

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Chicago
Kelahmetoglu, Osman, Koenraad Van Landuyt, Caglayan Yagmur, Casper E Sommeling, Musa K Keles, Volkan Tayfur, Tekin Simsek, Yener Demirtas, and Ethem Guneren. 2017. “A Simple Concept for Covering Pressure Sores : Wound Edge-based Propeller Perforator Flap.” International Wound Journal 14 (6): 1183–1188.
APA
Kelahmetoglu, O., Van Landuyt, K., Yagmur, C., Sommeling, C. E., Keles, M. K., Tayfur, V., Simsek, T., et al. (2017). A simple concept for covering pressure sores : wound edge-based propeller perforator flap. INTERNATIONAL WOUND JOURNAL, 14(6), 1183–1188.
Vancouver
1.
Kelahmetoglu O, Van Landuyt K, Yagmur C, Sommeling CE, Keles MK, Tayfur V, et al. A simple concept for covering pressure sores : wound edge-based propeller perforator flap. INTERNATIONAL WOUND JOURNAL. 2017;14(6):1183–8.
MLA
Kelahmetoglu, Osman, Koenraad Van Landuyt, Caglayan Yagmur, et al. “A Simple Concept for Covering Pressure Sores : Wound Edge-based Propeller Perforator Flap.” INTERNATIONAL WOUND JOURNAL 14.6 (2017): 1183–1188. Print.
@article{8553098,
  abstract     = {We present a new surgical modification to allow propeller perforator flaps to cover pressure sores at various locations. We used a propeller perforator flap concept based on the detection of newly formed perforator vessels located 1 cm from the wound margin and stimulated by the chronic inflammation process. 
Between January 2009 and January 2017, 33 wound edge-based propeller perforator flaps were used to cover pressure sores at various locations in 28 patients. In four cases more than one flap was used on the same patient. The patients comprised 18 males and 10 females with a mean age of 4125 (range, 16-70) years. 
All patients underwent follow-up for 0-12 months. The mean follow-up duration was 503 months. Venous congestion was observed in three flaps that were rotated by 180 degrees (91\%). However, there was a significant difference between flaps rotated by 90 degrees and 180 degrees according to the complication rate (P = 0034). Out of 33 flaps, 29 flaps healed uneventfully. Patients were able to sit and lie on their flaps three weeks after surgery. 
In our study, we were able to obtain satisfying final results using these novel flaps.},
  author       = {Kelahmetoglu, Osman and Van Landuyt, Koenraad and Yagmur, Caglayan and Sommeling, Casper E and Keles, Musa K and Tayfur, Volkan and Simsek, Tekin and Demirtas, Yener and Guneren, Ethem},
  issn         = {1742-4801},
  journal      = {INTERNATIONAL WOUND JOURNAL},
  keyword      = {TECHNICAL TIPS,RECONSTRUCTION,MUSCLE,VEGF,Perforator flap,Pressure sore,Propeller,Wound edge},
  language     = {eng},
  number       = {6},
  pages        = {1183--1188},
  title        = {A simple concept for covering pressure sores : wound edge-based propeller perforator flap},
  url          = {http://dx.doi.org/10.1111/iwj.12783},
  volume       = {14},
  year         = {2017},
}

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