The Freestyle Multiperforator Island Flap: Beyond the Keystone Flap.

ABSTRACT:

Background

This study aimed to introduce freestyle multiperforator island flaps as a technical advancement beyond keystone perforator flaps. These flaps represent a fully free-design approach, supplied by multiperforators in small subcutaneous pedicles randomly located, allowing for customized designs tailored to anatomical regions of diverse complexity.

Methods

We present a retrospective cohort study of 150 patients with coverage defects, without distinction of anatomical location or age, treated between 2012 and 2021. The study assessed the clinical presentation, flap characteristics, additional procedures, and postoperative outcomes. We used the chi-square test to assess the relationship between pedicle area size and the incidence of partial or complete necrosis.

Resul

SUBMITTER: Gomez OJ 

PROVIDER: S-EPMC11809965 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature