The dynamics of flap movement: effect of pivotal restraint on flap rotation and transposition.
Flaps that rotate or transpose around a cutaneous pedicle are restrained by the tethering effect of that base of tissue. Flap design that fails to adjust for this force may eventuate in unwanted degrees of tension and/or surrounding tissue displacement. This concept is discussed and illustrated for the rotation, rhombic, and bilobed flap.
Dzubow
L M
LM
Dept. of Dermatology, University of Pennsylvania School of Medicine, Philadelphia 19104.
D006801:Humans; D013518:Surgery, Plastic / Q000379:methods; D013524:Surgical Flaps; D013718:Tensile Strength