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Kashif Ali¹ and Muhammad Saleem Akhtar²

ABSTRACT

Objective: To compare the primary success rate (flap survival) of pedicled versus propeller flaps for coverage of tibial wounds.

Study Design: Randomized controlled trial study.

Place and Duration of Study: This study was conducted at the Department of Plastic Surgery Sheikh Zaid Hospital, Rahim Yar Khan and Department of Orthopedic Surgery, Quaid-e-Azam Medical College, Bahawalpur from June 2016 to December 2016.

Materials and Methods: A total of 60 patients with tibial wounds (≤ 50cm²) of ≤1 month duration, 15-60 years of age of both genders were included in the study. Patients with chronic osteomyelitis, pol trauma, peripheral vascular disease and ischemic heart disease were excluded. Then selected patients were placed randomly into two groups i.e. Group A (pedicled flap) & Group B (propeller flap). Primary success rate (flap survival) was compared between the both groups.

Results: The mean age of patients in group A was 32.48 ± 10.84 years and in gr up B was 33.56 ± 10.13 years. Out of 60 patients, 42 (70.0%) were males and 18 (30.0%) were females with male to female ratio of 2.3:1. The mean size of wound in group A was 24.80 ± 10.33 cm² and in group B was 26.48 ± 12.10 cm². The mean duration of wound in group A was 11.88 ± 5.27 days and in group B was 12.72 ± 6.02 days. Primary success rate of Group A (pedicled flap) was 27 (90.0%) while in Group B (propeller flap) was 19 (63.33%) with p-value = 0.013.

Conclusion: This study concluded that primary success rate (flap survival upto 2 months) of pedicled flaps is higher

compared to propeller flaps in tibial wounds coverage and should be used routinely in our general practice in order

to reduce the morbidity of these particular patients.

Key Words: Tibial, wounds, coverage, flaps, survival

Citation of articles: Ali K, Akhtar MS. C mparis f Primary Success Rate between Pedicled and Propeller Flaps for the Coverage of Tibial Wounds. Med F rum 2017;28(8):47-50