ArticlePlastic and reconstructive surgery. Global open2026
Rescue for Partially Necrotic Peroneal Propeller Flap Using Free Perforator Flap From Same Flap.
Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Distal partial necrosis is a frequent complication of propeller flaps and similar pedicled flaps, with reported incidences up to 21%. This report describes the case of a 2-year-old patient who underwent reconstruction of a posterior ankle soft-tissue defect using a peroneal artery-based propeller flap. The procedure was complicated by postoperative partial flap necrosis. On postoperative day 2, a free peroneal perforator flap was harvested from the viable proximal segment of the original flap to provide secondary wound coverage. The transferred flap survived completely, resulting in excellent soft-tissue coverage and functional outcomes, despite moderate hypertrophic scarring. Although based on a single case with a suboptimal vascular anastomosis, this approach represents a useful salvage strategy option for partial necrosis of propeller flaps and similar reconstructions.
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