Propeller Flap Reconstruction of Irradiated Sarcoma Defects: A Comparison

: The treatment for soft tissue sarcomas has evolved to include radiotherapy, wide local excision and plastic surgical reconstruction. Goals of reconstruction for these irradiated defects are introduction of non-irradiated healthy tissue, tension-free closure and obliteration of potential dead-space. While many defects once required free tissue transfer for reconstruction, greater anatomical vascular pattern knowledge has led to the increasing use of propeller perforator flaps, islanded and transposed into the defect.

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