Arch Plast Surg.  2019 Mar;46(2):176-180. 10.5999/aps.2018.00983.

The flip-flap puzzle flap: Another recycling option

• Gandolfi S
• Carloni R
• Gilleron M
• Bonmarchand A
• Auquit-Auckbur I

• KMID: 2446821
• DOI: http://doi.org/10.5999/aps.2018.00983

Abstract

Post-traumatic soft tissue defects sometimes require sequential flap coverage to achieve complete healing. In the era of propeller flaps, which were developed to reduce donor site morbidity, Feng et al. introduced the concept of the free-style puzzle flap, in which a previously harvested flap becomes its own donor site by recycling the perforator. However, when a perforator cannot be found with a Doppler device, we suggest performing a new type of flap, the flip-flap puzzle flap, which combines two concepts: the free-style puzzle flap and the flip-flap flap described by Voche et al. in the 1990s. We present the cases of three patients who achieved complete healing through this procedure.

Keyword

Surgical flaps; Perforator flaps; Reconstructive surgical procedures; Extremities; Soft tissue injuries

MeSH Terms

Extremities
Humans
Perforator Flap
Reconstructive Surgical Procedures
Recycling*
Soft Tissue Injuries
Surgical Flaps
Tissue Donors