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

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Felix Behan


plastic surgery, reconstructive surgical procedures, perforator flap


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

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Behan FC. The keystone design perforator island flap in reconstructive surgery. Aust NZ J Surg. 2003;73:112–120.
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. 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. 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. 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. 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. 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. 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. PMid:24049789
Behan FC. Surgical tips and skills. Sydney: Churchill Livingstone, 2014.

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