Cone Flap Reconstruction in Areas with Limited Skin Mobility: A Prospective Single-Arm Clinical Trial

Status

Recruiting

Phases

Phase 2Phase 3

Study type

Interventional

Source

TCTR

Registry ID

TCTR20250907001

Enrollment

Registered

2025-09-07

Start date

2025-09-18

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

The study focuses on the treatment of wounds or defects requiring reconstructive surgery in areas of the body with limited skin mobility or elasticity, such as the limbs, ankles, feet, and back. These conditions are often a result of accidents, surgical procedures, or chronic illnesses. The research specifically addresses the challenge of closing these wounds effectively when direct closure is not possible, and other traditional methods like skin grafts have significant disadvantages. Sources

Interventions

This technique utilizes a rotation flap to cover the primary wound and a VY advancement flap to close the secondary defect at the donor site. To increase the mobility of the flap, the fascia around th

Experimental Procedure/Surgery

Cone Flap Reconstruction

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1.Patients who are 18 years of age or older. 2.Patients with a wound or who require reconstructive surgery in an area with limited skin mobility, such as the arms, legs, ankles, feet, back, or head. 3.Patients who provide consent to participate in the study.

Exclusion criteria

Exclusion criteria: 1.Patients with a disease that affects wound healing, such as uncontrolled diabetes or vasculitis. 2.Patients who cannot be followed up after surgery.

Design outcomes

Primary

Measure	Time frame
Flap Survival Rate At 3, 7, 14, and 28 days after surgery, and again at 3 months. By physical examination	—

Secondary

Measure	Time frame
Wound Complications: wound dehiscence, wound infection, flap necrosis At 3, 7, 14, and 28 days after surgery, and again at 3 months. By physical examination,Wound Healing Time At 3, 7, 14, and 28 days after surgery, and again at 3 months. By physical examination,Surgeon Satisfaction Immediately after surgery and At the end of the follow-up period Likert scale (1-5)	—

Countries

Thailand

Contacts

Public ContactPremsak Sakarinpanichakul

Buriram Hospital

pkcfriend@yahoo.com0868738737

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026