J Reconstr Microsurg
DOI: 10.1055/s-0039-1695740
Special Topic Issue: Reconstruction of the Lower Extremity
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Thin Perforator Flaps for Reconstruction of the Lower Extremity

Peggy J. Ebner
1  Division of Plastic and Reconstructive surgery, Keck Hospital of University of Southern California, Los Angeles, California
,
Daniel J. Gould
1  Division of Plastic and Reconstructive surgery, Keck Hospital of University of Southern California, Los Angeles, California
,
Ketan M. Patel
1  Division of Plastic and Reconstructive surgery, Keck Hospital of University of Southern California, Los Angeles, California
› Author Affiliations
Funding The authors received no financial support for the research, authorship, and publication of this article.
Further Information

Publication History

06 June 2019

18 July 2019

Publication Date:
30 August 2019 (online)

Abstract

Thin flaps, a modification of traditional flaps that minimize the need for debulking and revision, offer unique advantages in the field of lower limb reconstruction. Advances in the field of microsurgery have made this streamlined method of reconstruction a viable solution for soft tissue coverage in patients with both trauma and nonhealing wounds. Better understanding of anatomy has allowed for flap harvest above the fascia level and the Scarpal plane. These modifications allow for flap transfer with thicknesses more comparable to the native anatomy of the lower leg, ankle, and foot. Flap survival is comparable to traditional techniques with greater potential for improved patient-centered outcomes.