Keystone island flaps for reconstruction following lower leg skin cancer resection: A comparison with split-thickness skin grafts

We were very interested to read the correspondence by Sorooshian et al. in the March 2019 edition of JPRAS, comparing the use of keystone flaps and skin grafts for lower limb skin cancer reconstruction.1 The keystone perforator flap is widely reported as a robust and versatile local fasciocutaneous flap, with applications in the reconstruction of defects in the head and neck, within burns and over joints.5 Despite consensus that local flaps provide superior cosmetic and functional outcomes compared to split thickness skin grafts, we concur that there exists a relative sparsity of literature comparing objective and subjective outcomes in the reconstruction of skin cancer defects.
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - Category: Cosmetic Surgery Authors: Tags: Correspondence and Communications Source Type: research