A rotation flap is a semicircular
skin flap that is rotated into the defect on a
fulcrum point
A fulcrum is the support about which a lever pivots.
Fulcrum may also refer to:
Companies and organizations
* Fulcrum (Anglican think tank), a Church of England think tank
* Fulcrum Press, a British publisher of poetry
* Fulcrum Wheels, a bicycle ...
. Rotation flaps provide the ability to mobilize large areas of tissue with a wide vascular base for reconstruction. The flap must be adequately large, and a large base is necessary if a back-cut will be needed to lengthen the flap. If the flap is too small, the residual defect can be covered by mobilizing the surrounding tissue.
A drawback of rotation flaps is the extended cutting and undermining needed to create the flap, thus increasing the risk of
hemorrhage and
nerve damage.
This term is often used in contrast with the term "
free flap" where the transferred tissue is completely detached.
References
*
See also
*
Flap (surgery)
*
Free flap
*
Perforator flaps
Perforator flap surgery is a technique used in reconstructive surgery where skin and/or subcutaneous fat are removed from a distant or adjacent part of the body to reconstruct the excised part. The vessels that supply blood to the flap are isolated ...
*
List of plastic surgery flaps Below is a list of common and eponymous plastic surgery flaps with their classification and common usage. ''(NB - the terms interpolation flap and pedicle flap can be used interchangeably.)''
List of flaps
See also
* Flap (surgery)
* Perforator ...
External links
Rotation flap @ eMedicineImages on rotation flap
{{Surgery-stub
Plastic surgery