Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 63, Issue 8 , Pages 1359-1363 , August 2010

Extended experience and modifications in the design and concepts of the keystone design island flap

  • Marc D. Moncrieff

      Affiliations

    • Melanoma Institute Australia (incorporating the Sydney Melanoma Unit), North Sydney, NSW, Australia
    • Royal Prince Alfred Hospital, Camperdown, NSW, Australia
    • Discipline of Surgery, The University of Sydney, Sydney, NSW, Australia
    • ,
  • John F. Thompson

      Affiliations

    • Melanoma Institute Australia (incorporating the Sydney Melanoma Unit), North Sydney, NSW, Australia
    • Royal Prince Alfred Hospital, Camperdown, NSW, Australia
    • The Mater Hospital, North Sydney, NSW, Australia
    • Discipline of Surgery, The University of Sydney, Sydney, NSW, Australia
    • ,
  • Jonathan R. Stretch

      Affiliations

    • Melanoma Institute Australia (incorporating the Sydney Melanoma Unit), North Sydney, NSW, Australia
    • Royal Prince Alfred Hospital, Camperdown, NSW, Australia
    • The Mater Hospital, North Sydney, NSW, Australia
    • Discipline of Surgery, The University of Sydney, Sydney, NSW, Australia
    • Corresponding Author InformationCorresponding author. Tel.: +61 2 99117200; fax: +61 2 99549927.

Received 27 April 2008 ,Accepted 18 June 2009.

References 

  1. Behan FC. The keystone design perforator island flap in reconstructive surgery. ANZ J Surg. 2003;73:112–120
  2. Jackson IT. The keystone design perforator island flap in reconstructive surgery. ANZ J Surg. 2003;73:261
  3. Penington AJ, Mallucci P. Closure of elective skin defects in the leg with a fasciocutaneous V–Y island flap. Br J Plast Surg. 1999;52:458–461
  4. Venkataramakrishnan V, Mohan D, Villafane O. Perforator based V–Y advancement flaps in the leg. Br J Plast Surg. 1998;51:431–435
  5. Niranjan NS, Price RD, Govilkar P. Fascial feeder and perforator-based V–Y advancement flaps in the reconstruction of lower limb defects. Br J Plast Surg. 2000;53:679–689
  6. Kamath BJ, Joshua TV, Pramod S. Perforator based flap coverage from the anterior and lateral compartment of the leg for medium sized traumatic pretibial soft tissue defects–a simple solution for a complex problem. J Plast Reconstr Aesthet Surg. 2006;59:515–520
  7. Dini M, Innocenti A, Russo GL, et al. The use of the V–Y fasciocutaneous island advancement flap in reconstructing postsurgical defects of the leg. Dermatol Surg. 2001;27:44–46
  8. Moncrieff M, Bowen F, Thompson J, et al. Keystone flap reconstruction of primary melanoma excision defects of the leg – the end of the skin graft?. Ann Surg Oncol. 2008;15:2867–2873
  9. Behan F, Sizeland A, Porcedu S, et al. Keystone island flap: an alternative reconstructive option to free flaps in irradiated tissue. ANZ J Surg. 2006;76:407–413

PII: S1748-6815(09)00486-0

doi: 10.1016/j.bjps.2009.06.028

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 63, Issue 8 , Pages 1359-1363 , August 2010

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