The AAPS 101st Annual Meeting

Profunda artery perforator flap

Disadvantages

-Thick flap

Advantages

-Concealed donor site scar

-Large perforators

-Long pedicle

Straightforward pedicle dissection

Thin/ Superthin plane

-Allows thin flap

-Regardless of patient BMI

-Like for like reconstruction

In extremities

Radiological analysis

Consecutive series of patients (n=80) with CTA lower extremities

Preoperative planning

-CT to localise proximal-distal location of dominant perforator

-Color doppler ultrasound

Intraoperative design

-Flap centered on dominant perforator

-Flap thickness and dimensions customized depending on

- Requirements of defect

- T or Y dominant perforator

37 consecutive thin/ superthin single perforator PAP flaps

Mean flap thickness 0.7 +/- 0.2 cm

Mean flap area 163.4 +/- 54.7 cm2

Thin/ Superthin PAP flap workhorse flap for extremity reconstruction

Clinical Experience With The Superthin Profunda Artery Perforator Free Flap For Extremity Reconstruction