Outcomes of the Keystone Island Perforator Flap: A Systematic Review

Maxene Weinberg , Adee J. Heiman  , Rebecca DeSanti , Michael A. Lanni , Emily Van Kouwenberg , Ashit Patel 

The Keystone Design Perforator Island Flap (KDPIF), first described by Behan in 2003, has been demonstrated as a versatile, safe, and straightforward reconstructive option for various soft tissue defects. The purpose of this systematic review is to evaluate the indications, variations, and overall complication profile of the keystone flap in reconstructive surgery.