Comparison of the Clinical Efficacy of Perforator Pedicled V‐Y Flap and Perforator Pedicled Propeller Flap in Repairing Small Area Soft Tissue Defects: A Retrospective Comparative Study
ABSTRACT Background and Aims Primary medical institutions commonly employ perforator‐pedicled propeller (PPP) flaps and V‐Y flaps as the main methods for managing small soft tissue defects resulting from trauma or lesion resection. However, both surgical techniques have inherent limitations. Therefo...
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2025-04-01
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| Online Access: | https://doi.org/10.1002/hsr2.70693 |
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| author | Zhe‐Ming Cao Yan Yang Yu Xiao Li‐Ming Qing Ju‐Yu Tang Pan‐Feng Wu |
| author_facet | Zhe‐Ming Cao Yan Yang Yu Xiao Li‐Ming Qing Ju‐Yu Tang Pan‐Feng Wu |
| author_sort | Zhe‐Ming Cao |
| collection | DOAJ |
| description | ABSTRACT Background and Aims Primary medical institutions commonly employ perforator‐pedicled propeller (PPP) flaps and V‐Y flaps as the main methods for managing small soft tissue defects resulting from trauma or lesion resection. However, both surgical techniques have inherent limitations. Therefore, this study aims to investigate the feasibility of utilizing perforator‐pedicled (PP) V‐Y flaps for reconstructing small area soft tissue defects and evaluate their clinical effectiveness. Methods The study conducted a retrospective analysis from January 2010 to December 2022, involving 49 patients with small soft tissue defects resulting from trauma or lesion resection (21 PP V‐Y flaps and 28 PPP flaps). Evaluation criteria encompassed intraoperative conditions, postoperative short‐ and long‐term complications, and aesthetic outcomes. Results The results of this study showed that all flaps in the PP V‐Y flap group survived, while six cases in the PPP flap group had partial necrosis. The donor area was closed directly in one stage for the group of perforator pedicled V‐Y flaps, while skin grafting was required to repair the donor area for eight cases from the group of PPP flaps, leading to delayed healing in this region. Furthermore, aesthetic evaluation favored PP V‐Y flaps as they exhibited significantly better appearances in both donor and recipient areas. Conclusion In this study, compared to the PPP flap, the PP V‐Y flap demonstrates superior outcomes with regard to reduced postoperative complications and enhanced aesthetic appearance. PP V‐Y flap is an ideal technique for repairing small soft tissue defects of limbs, which is suitable for implementation in primary medical institutions. Level of evidence: III, Case–control study. |
| format | Article |
| id | doaj-art-441de2bff94248edbb42f4c09f9547ce |
| institution | Kabale University |
| issn | 2398-8835 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj-art-441de2bff94248edbb42f4c09f9547ce2025-08-20T03:52:28ZengWileyHealth Science Reports2398-88352025-04-0184n/an/a10.1002/hsr2.70693Comparison of the Clinical Efficacy of Perforator Pedicled V‐Y Flap and Perforator Pedicled Propeller Flap in Repairing Small Area Soft Tissue Defects: A Retrospective Comparative StudyZhe‐Ming Cao0Yan Yang1Yu Xiao2Li‐Ming Qing3Ju‐Yu Tang4Pan‐Feng Wu5Department of Orthopedics Xiangya Hospital, Central South University Changsha Hunan ChinaDepartment of Orthopedics Xiangya Hospital, Central South University Changsha Hunan ChinaDepartment of Orthopedics Xiangya Hospital, Central South University Changsha Hunan ChinaDepartment of Orthopedics Xiangya Hospital, Central South University Changsha Hunan ChinaDepartment of Orthopedics Xiangya Hospital, Central South University Changsha Hunan ChinaDepartment of Orthopedics Xiangya Hospital, Central South University Changsha Hunan ChinaABSTRACT Background and Aims Primary medical institutions commonly employ perforator‐pedicled propeller (PPP) flaps and V‐Y flaps as the main methods for managing small soft tissue defects resulting from trauma or lesion resection. However, both surgical techniques have inherent limitations. Therefore, this study aims to investigate the feasibility of utilizing perforator‐pedicled (PP) V‐Y flaps for reconstructing small area soft tissue defects and evaluate their clinical effectiveness. Methods The study conducted a retrospective analysis from January 2010 to December 2022, involving 49 patients with small soft tissue defects resulting from trauma or lesion resection (21 PP V‐Y flaps and 28 PPP flaps). Evaluation criteria encompassed intraoperative conditions, postoperative short‐ and long‐term complications, and aesthetic outcomes. Results The results of this study showed that all flaps in the PP V‐Y flap group survived, while six cases in the PPP flap group had partial necrosis. The donor area was closed directly in one stage for the group of perforator pedicled V‐Y flaps, while skin grafting was required to repair the donor area for eight cases from the group of PPP flaps, leading to delayed healing in this region. Furthermore, aesthetic evaluation favored PP V‐Y flaps as they exhibited significantly better appearances in both donor and recipient areas. Conclusion In this study, compared to the PPP flap, the PP V‐Y flap demonstrates superior outcomes with regard to reduced postoperative complications and enhanced aesthetic appearance. PP V‐Y flap is an ideal technique for repairing small soft tissue defects of limbs, which is suitable for implementation in primary medical institutions. Level of evidence: III, Case–control study.https://doi.org/10.1002/hsr2.70693comparative studyperforator pedicled propeller flapperforator pedicled V‐Y flapsoft tissue defects |
| spellingShingle | Zhe‐Ming Cao Yan Yang Yu Xiao Li‐Ming Qing Ju‐Yu Tang Pan‐Feng Wu Comparison of the Clinical Efficacy of Perforator Pedicled V‐Y Flap and Perforator Pedicled Propeller Flap in Repairing Small Area Soft Tissue Defects: A Retrospective Comparative Study Health Science Reports comparative study perforator pedicled propeller flap perforator pedicled V‐Y flap soft tissue defects |
| title | Comparison of the Clinical Efficacy of Perforator Pedicled V‐Y Flap and Perforator Pedicled Propeller Flap in Repairing Small Area Soft Tissue Defects: A Retrospective Comparative Study |
| title_full | Comparison of the Clinical Efficacy of Perforator Pedicled V‐Y Flap and Perforator Pedicled Propeller Flap in Repairing Small Area Soft Tissue Defects: A Retrospective Comparative Study |
| title_fullStr | Comparison of the Clinical Efficacy of Perforator Pedicled V‐Y Flap and Perforator Pedicled Propeller Flap in Repairing Small Area Soft Tissue Defects: A Retrospective Comparative Study |
| title_full_unstemmed | Comparison of the Clinical Efficacy of Perforator Pedicled V‐Y Flap and Perforator Pedicled Propeller Flap in Repairing Small Area Soft Tissue Defects: A Retrospective Comparative Study |
| title_short | Comparison of the Clinical Efficacy of Perforator Pedicled V‐Y Flap and Perforator Pedicled Propeller Flap in Repairing Small Area Soft Tissue Defects: A Retrospective Comparative Study |
| title_sort | comparison of the clinical efficacy of perforator pedicled v y flap and perforator pedicled propeller flap in repairing small area soft tissue defects a retrospective comparative study |
| topic | comparative study perforator pedicled propeller flap perforator pedicled V‐Y flap soft tissue defects |
| url | https://doi.org/10.1002/hsr2.70693 |
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