| CASE REPORT |
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| Year : 2021 | Volume
: 29
| Issue : 5 | Page : 67-71 |
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Double keystone flap for large lower thigh defect
Amrita More, Dharini Dharini, Anoop Sivakumar
Department of Burns, Plastic and Maxillofacial Surgery, VMMC and Safdarjung Hospital, New Delhi, India
Correspondence Address:
Dr. Anoop Sivakumar
D2-204, Kaka Nagar, New Delhi - 110 003
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/tjps.tjps_92_20
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Large lower thigh defects are a reconstructive challenge. Keystone design perforator island flap in the lower thigh is not routinely performed as the skin here is less extensible. We present a case of a large anterolateral lower thigh defect wherein we used double keystone flaps from the remaining circumference of the thigh and grafted the donor site in the posterior thigh. Circumferential incision/scarring in the limbs risk damage of superficial lymphatico-venous circulation and distal edema. However, our case demonstrates an uneventful recovery and excellent aesthetic and functional outcome.
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