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A COMPARATIVE RESEARCH TO DRAW A CORRELATION BETWEEN PROPELLER AND PEDICLED FLAPS TO COVER TIBIAL WOUNDS

Dr Hira Aslam, Dr Mohsin Akhtar, Dr Qurat Ul Ain

Abstract: Objective: The objective of the research was to correlate the pedicled flap primary success rate (flap survival) against propeller flaps for the treatment of tibial injuries. Material and Methods: This comparative research was carried out at Mayo Hospital, Lahore from February to July 2018 on a total of 60 patients. A total number of enrolled patients for research are sixty having wounds (≤50cm²), merely involving tibial of less than or equal to one-month duration. Both the gender having age fifteen to sixty years were selected for research. Those patients having mal-aligned bones fixation, peripheral vascular, polytrauma and ischemic heart diseases and patients with segmental bone loss were not included in the research. Results: The researcher categorized the patients in two groups. In group “A” & “B”, an average was respectively (32.48 ± 10.84) years & (33.56 ± 10.13) years. Among sixty patients, the number of male patients was forty-two (seventy percent) along with eighteen (thirty percent) female patients whereas male to female ratio was 2.3: 1. The average volume of the wound in Cat – A was (24.80 ± 10.33) cm² and in Cat – B was (26.48 ± 12.10) cm², the average wound time period for Cat – A was (11.88 ± 5.27) days and in Cat – B was (12.72 ± 6.02) days. The primary success rate in pedicled flap (Cat – A) was twenty-seven (90 %) and in propeller flap (Cat – B), it was nineteen (63.33%) (P-Value 0.013). Conclusion: The research determined that primary success rate of the pedicled flap; (flap survival up to two months) was much greater with respect to propeller flap in the recovery of tibial injuries and must be practised daily in our routine life to minimize the bitterness of these specific patients. Keywords: Primary Success Rate (PSR), Tibial Wounds, Flap Survival.

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