CROWN MODIFICATION KEYSTONE FLAPS FOR COVER OF TISSUES DEFECTS IN THE DISTAL PARTS OF THE EXTREMITIES
The method of plastic by island perforator keystone flaps was described for the first time by Felix Behan in 2003. It was found with this method that the highest-intention area after closure of a wound is above the center of defect ellipse. This circumstance restricts the application of the method in distal sections of extremities. The crown keystone modification assumes the use of an additional central V-Y closure, which allows the intention at the center of the flap ellipse was decreased. We applied this method in 12 cases. All the flaps in this series survived, and in two cases partial deviation of wound edges was observed, which healed without additional surgical procedures.
Keywords
реконструктивная хирургия, перфорантный лоскут, keystone лоскут, crown keystone лоскут, reconstructive surgery, perforator flap, keystone flap, crown keystone flapAuthors
Name | Organization | |
Sliesarenko S.V. | Burn and Plastic Surgery Centre; Dnepropetrovsk Medical Institute of TNM | slesarenko@Yahoo.com badyul@gmail.com |
Badiul P.A. | Burn and Plastic Surgery Centre; Dnepropetrovsk State Medical Academy | |
Korpusenko E.I. | Dnepropetrovsk State Medical Academy |
References

CROWN MODIFICATION KEYSTONE FLAPS FOR COVER OF TISSUES DEFECTS IN THE DISTAL PARTS OF THE EXTREMITIES | Issues of reconstructive and plastic surgery. 2018. № 1(64). DOI: 10.17223/1814147/64/03