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Outcomes of the Keystone Island Perforator Flap: A Systematic Review.

Publication ,  Journal Article
Weinberg, M; Heiman, AJ; DeSanti, R; Lanni, MA; Kouwenberg, EV; Patel, A
Published in: J Reconstr Microsurg
November 2022

BACKGROUND:  The Keystone Design Perforator Island Flap (KDPIF), first described by Behan in 2003, has been demonstrated as a versatile, safe, and straightforward reconstructive option for various soft tissue defects. The purpose of this systematic review is to evaluate the indications, variations, and overall complication profile of the keystone flap in reconstructive surgery. METHODS:  A literature review was conducted in accordance with PRISMA guidelines using MeSH term "surgical flaps" with the keyword "keystone flap." Empirical studies with at least 15 patients who underwent keystone flap reconstruction were assessed for quantitative analysis. Outcomes of interest included patient demographics, indications, anatomic location, flap design, and complications. RESULTS:  Database search produced 135 articles, of which 25 were selected for full-text review. Out of 23 studies selected qualitative analysis and 22 met criteria for quantitative analysis. Overall success rate of this flap was 98%. Wound complications were highest in extremity flaps. Several modifications of this flap were described. CONCLUSION:  Keystone reconstruction demonstrates excellent success rates and versatility. However, further studies with more standard reporting are needed to determine guidelines for patient specific surgical planning.

Duke Scholars

Published In

J Reconstr Microsurg

DOI

EISSN

1098-8947

Publication Date

November 2022

Volume

38

Issue

9

Start / End Page

727 / 733

Location

United States

Related Subject Headings

  • Surgery
  • Retrospective Studies
  • Plastic Surgery Procedures
  • Perforator Flap
  • Humans
  • Extremities
  • 3203 Dentistry
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Weinberg, M., Heiman, A. J., DeSanti, R., Lanni, M. A., Kouwenberg, E. V., & Patel, A. (2022). Outcomes of the Keystone Island Perforator Flap: A Systematic Review. J Reconstr Microsurg, 38(9), 727–733. https://doi.org/10.1055/s-0042-1745744
Weinberg, Maxene, Adee J. Heiman, Rebecca DeSanti, Michael A. Lanni, Emily Van Kouwenberg, and Ashit Patel. “Outcomes of the Keystone Island Perforator Flap: A Systematic Review.J Reconstr Microsurg 38, no. 9 (November 2022): 727–33. https://doi.org/10.1055/s-0042-1745744.
Weinberg M, Heiman AJ, DeSanti R, Lanni MA, Kouwenberg EV, Patel A. Outcomes of the Keystone Island Perforator Flap: A Systematic Review. J Reconstr Microsurg. 2022 Nov;38(9):727–33.
Weinberg, Maxene, et al. “Outcomes of the Keystone Island Perforator Flap: A Systematic Review.J Reconstr Microsurg, vol. 38, no. 9, Nov. 2022, pp. 727–33. Pubmed, doi:10.1055/s-0042-1745744.
Weinberg M, Heiman AJ, DeSanti R, Lanni MA, Kouwenberg EV, Patel A. Outcomes of the Keystone Island Perforator Flap: A Systematic Review. J Reconstr Microsurg. 2022 Nov;38(9):727–733.
Journal cover image

Published In

J Reconstr Microsurg

DOI

EISSN

1098-8947

Publication Date

November 2022

Volume

38

Issue

9

Start / End Page

727 / 733

Location

United States

Related Subject Headings

  • Surgery
  • Retrospective Studies
  • Plastic Surgery Procedures
  • Perforator Flap
  • Humans
  • Extremities
  • 3203 Dentistry
  • 3202 Clinical sciences
  • 1103 Clinical Sciences