How to do lower limb reconstruction using the keystone perforator island flap

Main Article Content

Felix Behan

Keywords

plastic surgery, reconstructive surgical procedures, perforator flap

Abstract

This guide summarises the keystone perforator island flap (KPIF) in lower limb reconstruction from the groin to the ankle. 

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References

FURTHR READING
Behan FC. The keystone design perforator island flap in reconstructive surgery. Aust NZ J Surg. 2003;73:112–120. https://doi.org/10.1046/j.1445-2197.2003.02638.x
Pelissier P, Santoul M, Pinsolle V, Casoli V, Behan FC. The keystone design perforator island flap. Part I: anatomic study. J Plast Reconstr Aesthet Surg. 2007;60:883–87. https://doi.org/10.1016/j.bjps.2007.01.072 PMid:17446152
Behan FC. Evolution of the fasciocutaneous island flap leading to the keystone flap principle in lower limb reconstruction. ANZ J Surg. 2008;78:116–17. https://doi.org/10.1111/j.1445-2197.2007.04382.x PMid:18269468
Behan FC, Lo CH, Shayan R. Perforator territory of the key–stone flap: use of the dermatomal roadmap. J Plast Reconstr Aesth Surg. 2009;62:551–53. https://doi.org/10.1016/j.bjps.2008.08.078 PMid:19046659
Behan FC, Rozen WM, Kapila S, Ng SK. Two for the price of one: a keystone design equals two conjoined flaps. ANZ J Surg. 2011 June;81(6):405–06. https://doi.org/10.1111/j.1445-2197.2011.05772.x PMid:22022822
Behan FC, Rozen WM, Tan S. Yin–yang flaps: the mathematics of two keystone island flaps for reconstructing increasingly large defects. ANZ J Surg. 2011;81:574–75. https://doi.org/10.1111/j.1445-2197.2011.05814.x PMid:22295411
Behan FC, Rozen WM, Lo CH, Findlay M. The omega—Ω— variant designs (types A and B) of the keystone perforator island flap. ANZ J Surg. 2011;81:650–52. https://doi.org/10.1111/j.1445-2197.2011.05833.x PMid:22295410
Behan FC, Findlay MW and Lo CH. The keystone perforator island flap concept. Chatswood, Sydney: Elsevier Australia, 2012.
Shayan R, Behan FC. Re the ‘keystone concept’: time for some science. ANZ J Surg. 2013;83:499–500. https://doi.org/10.1111/ans.12303 PMid:24049789
Behan FC. Surgical tips and skills. Sydney: Churchill Livingstone, 2014.

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