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J Reconstr Microsurg 2022; 38(03): 233-237
DOI: 10.1055/s-0041-1740253
Review Article

The Use of Color Duplex Ultrasound for Local Perforator Flaps in the Extremity

Joon Pio Hong 
1   Department of Plastic Surgery, ASAN medical center, University of Ulsan College of Medicine, Seoul, Korea
,
Joon Hur
1   Department of Plastic Surgery, ASAN medical center, University of Ulsan College of Medicine, Seoul, Korea
,
Hyung Bae Kim
1   Department of Plastic Surgery, ASAN medical center, University of Ulsan College of Medicine, Seoul, Korea
,
Changsik John Park
1   Department of Plastic Surgery, ASAN medical center, University of Ulsan College of Medicine, Seoul, Korea
,
Hyunsuk Peter Suh
1   Department of Plastic Surgery, ASAN medical center, University of Ulsan College of Medicine, Seoul, Korea
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Abstract

Background The local flaps, especially perforator and keystone flaps, are used as first-line treatment option in reconstruction of small tomoderate-sized defect of the extremity. However, the high complication rate associated with these flaps may hinder this usage.

Methods This article reviews the technical and clinical aspect of using color duplex ultrasound )CDU) in the preoperative, intraoperative, and postoperative period for propeller and keystone flaps.

Results CDU allows the surgeon to understand the anatomical aspect of the perforator such as the location, point of penetration on the deep fascia, subcutaneous pathway )axiality) and physiological aspect such as velocity and flow volume. Understanding and utilizing this information will allow accurate preoperative design, intraoperative decision making, and postoperative monitoring, leading to better outcome.

Conclusion Carefully designed local perforator flaps based on anatomy and physiology using CDU will be a powerful armamentarium for reconstruction of the lower extremity.

Keywords

color duplex ultrasound - local flaps - perforator flaps


Publication History

Received: 12 August 2021

Accepted: 26 September 2021

Article published online:
02 December 2021

© 2021. Thieme. All rights reserved.

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