Keystone flap. An option when the primary closure is not possible




Juan Castro-Ayala, Departamento de Dermatología, Pontificia Universidad Católica de Chile, Santiago, Chile
Gastón Galimberti, Servicio de Dermatología, Centro de Cáncer de Piel y Cirugía Micrográfica de Mohs, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
Julio Parra-Cares, Departamento de Dermatología, Pontificia Universidad Católica de Chile, Santiago, Chile
Leisa Molinari, Servicio de Dermatología, Centro de Cáncer de Piel y Cirugía Micrográfica de Mohs, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
Damián Ferrario, Servicio de Dermatología, Centro de Cáncer de Piel y Cirugía Micrográfica de Mohs, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina


Reconstruction of greater than 15mm postoperative defects, located in areas with poor mobility or skin, can be a challenge. Some of these areas include knees, legs, feet, shoulders, forearms and hands. Primary closure may not be advisable or possible, establishing the need of flaps or grafts; latter with unfavorable aesthetic results. Keystone fasciocutaneous flap (CK) is a relatively easy option for to repair defects in these regions, with a rapid recovery postoperative period and very acceptable aesthetic results. The objective of this article is to review the technique step by step, indications, advantages and possible complications.



Keywords: Keystone flap. Surgical flap. Fasciocutaneous flap. Skin defects.