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Plastic Surgery International
Volume 2011 (2011), Article ID 349357, 7 pages
Clinical Study

What Is Safe Limit of the Perforator Flap in Lower Extremity Reconstruction? Do We Have Answers Yet?

1Department of Plastic Surgery, B.J. Medical College, Pune 411004, India
2Vimal Niwas, Sudarshan Society, Near Model Colony Post Office, Shivajinagar, Pune 411016, India
3Department of Plastic Surgery, SSG Hospital & Medical College, Baroda 390001, India
4Department of Plastic Surgery, Citicare Hospital, Aurangabad 431001, India

Received 4 June 2011; Accepted 1 August 2011

Academic Editor: Georg M. Huemer

Copyright © 2011 Nikhil S. Panse et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We make an attempt to define the safe extent of local perforator flap for lower limb reconstruction by comparing it with the limb length of the patient. The maximum flap length from the perforator was compared to the limb length in 35 patients using EPI info 6.04 D software. On comparison of flaps that were less than one-third of limb length to those which were more than one-third of limb length, the statistical values were significant. The odds ratio calculated was 6, which means that there is a six times more chance that a local perforator flap will necrose if it is more than one-third of the limb length as compared to a flap which is less than one-third of the limb length.