الفهرس 
Chapter(1) interoductionOnly 14 pages are availabe for public view
Abstract
propller flaps based on perforator vessels are raising interest in
reconstructive surgery of the limbs. These flaps allow efficient coverage of large
wounds without the need to sacrifice a major vascular axis. The operative
technique does not require microvascular anastomosis and allows reconstruction of
soft tissue defects using nearby similar tissues. The aim of this study was to
evaluate the clinical results of propller perforator flaps in the treatment of various
lower leg defects.
In the current study34 cases of various leg defects were covered by propller
perforator based flaps. Defects were due to Trauma in 27 cases, gunshot injuries in
2cases, electric burn in 1 case and 4 case of a chronic non healing ulcer.
Postoperatively, 20 cases healed completely. One case showed total flap
necrosis(diabetic female patient), 2 cases showed partial loss of the half of the flap,
and8 cases showed partial loss of the dermis and were healed. by secondary
intention and 1 case had DVT and was managed under medical supervision. In
most cases, the aesthetic result was optimal and patients were fully satisfied.
The use of propeller flaps to cover defects in the lower leg showed
satisfactory results as regards flap viability and providing a suitable cover of
various defects. The use of hand held Doppler proved satisfactory in pre operative
delineation of the perforators but colour duplexU/S is more accurate and less false
positive or false negative . The use of propeller flaps proved to be effective as
regards viability of the flap and decreasing the donor site defect.