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Peer-reviewedCC BY-NC-ND 4.0Anz Journal of Surgery

How to Do a Refined Rotational Flap

  • Ho Yin Kam1
  • Ashavri Sharma2
  • Sam Hamilton1
  • Nitin Sharma1
  1. 1Department of Plastic and Reconstructive Surgery Royal Hobart Hospital Hobart Tasmania Australia
  2. 2Royal Hobart Hospital Hobart Tasmania Australia
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Abstract

Rotation flaps are a reliable reconstructive option for moderate to large cutaneous defects, particularly in areas of limited tissue laxity. However, flap planning can be challenging for trainees or surgeons who perform these reconstructions infrequently. We describe a simplified and reproducible modification of Ahuja's rotation flap technique, using triangulation of the defect and proportional geometric landmarks to guide flap design. Key principles include a broad‐based flap, generous rotational arc, preservation of vascularity and intraoperative adjustment using a ‘cut‐as‐you‐go’ approach according to tissue laxity. This technique provides a practical visual framework for safe and efficient rotation flap planning while maintaining the reconstructive advantages of local like‐for‐like tissue transfer.

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Cite

BibTeXRIS
BibTeX
@article{kam2026refined,
  title = {{How to Do a Refined Rotational Flap}},
  author = {Ho Yin Kam and Ashavri Sharma and Sam Hamilton and Nitin Sharma},
  journal = {Anz Journal of Surgery},
  year = {2026},
  month = aug,
  doi = {10.1111/ans.70937},
  url = {https://doi.org/10.1111/ans.70937},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - How to Do a Refined Rotational Flap
AU  - Ho Yin Kam
AU  - Ashavri Sharma
AU  - Sam Hamilton
AU  - Nitin Sharma
PY  - 2026
DA  - 2026/08/27
JO  - Anz Journal of Surgery
DO  - 10.1111/ans.70937
UR  - https://doi.org/10.1111/ans.70937
AB  - Rotation flaps are a reliable reconstructive option for moderate to large cutaneous defects, particularly in areas of limited tissue laxity. However, flap planning can be challenging for trainees or surgeons who perform these reconstructions infrequently. We describe a simplified and reproducible modification of Ahuja's rotation flap technique, using triangulation of the defect and proportional geometric landmarks to guide flap design. Key principles include a broad‐based flap, generous rotational arc, preservation of vascularity and intraoperative adjustment using a ‘cut‐as‐you‐go’ approach according to tissue laxity. This technique provides a practical visual framework for safe and efficient rotation flap planning while maintaining the reconstructive advantages of local like‐for‐like tissue transfer.
SN  - 1445-1433
SN  - 1445-2197
ER  -