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CASE REPORT
Year : 2021  |  Volume : 29  |  Issue : 5  |  Page : 67-71

Double keystone flap for large lower thigh defect


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
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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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