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J Dermatol Surg Oncol. 1987 Dec;13(12):1348-53.

The dynamics of flap movement: effect of pivotal restraint on flap rotation and transposition.

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Dept. of Dermatology, University of Pennsylvania School of Medicine, Philadelphia 19104.


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.

[Indexed for MEDLINE]

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