The flip-flap puzzle flap: Another recycling option
- Author:
Silvia GANDOLFI
1
;
Raphael CARLONI
;
Matthieu GILLERON
;
Albane BONMARCHAND
;
Isabelle AUQUIT-AUCKBUR
Author Information
- Publication Type:Brief Communication
- Keywords: Surgical flaps; Perforator flaps; Reconstructive surgical procedures; Extremities; Soft tissue injuries
- MeSH: Extremities; Humans; Perforator Flap; Reconstructive Surgical Procedures; Recycling; Soft Tissue Injuries; Surgical Flaps; Tissue Donors
- From:Archives of Plastic Surgery 2019;46(2):176-180
- CountryRepublic of Korea
- Language:English
- Abstract: Post-traumatic soft tissue defects sometimes require sequential flap coverage to achieve complete healing. In the era of propeller flaps, which were developed to reduce donor site morbidity, Feng et al. introduced the concept of the free-style puzzle flap, in which a previously harvested flap becomes its own donor site by recycling the perforator. However, when a perforator cannot be found with a Doppler device, we suggest performing a new type of flap, the flip-flap puzzle flap, which combines two concepts: the free-style puzzle flap and the flip-flap flap described by Voche et al. in the 1990s. We present the cases of three patients who achieved complete healing through this procedure.
