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COMPARISON OF OUTCOME (IN TERMS OF FLAP SURVIVAL) OF PEDICLED VERSUS PROPELLER FLAPS FOR THE COVERAGE OF TIBIAL WOUNDS

Dr. Uzma Naseer, Dr. Farhat Ul Ann Tayyaba, Dr. Abdul Munaf Saud, Dr. Muhammad Akmal Shah

Objective: To compare the primary success rate (flap survival) of pedicled versus propeller flaps for coverage of tibial wounds. Material and methods: This randomized controlled trial was conducted at Department of Plastic Surgery, Bahawal Victoria Hospital, Bahawalpur from March 2019 to September 2019 over the period of 6 months. Total 60 patients with wounds (≤ 50cm2) exclusively involving tibia of ≤ 1 month duration, having age from 15-60 years either male or female were selected. Primary success rate (flap survival) of pedicled versus propeller flaps for coverage of tibial wounds was compared between the both groups. Results: The mean age of patients in group A was 32.48 ± 10.84 years and in group 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. Keywords: Tibial, wounds, coverage, flaps, survival