Evaluation and comparison of reading man flap based on different designs of angles and central axial lengths using finite element method

Abstract Different angles and central axis length combinations of the reading man flap were studied to determine the optimal angles and central axis length combinations for reducing the stress on the flap tip. First, different models and corresponding finite element models of flaps with different an...

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Main Authors: Ling Chen, Xin Yang, Yunshi Zhang, Long Zhang, Youchen Xia
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-87141-1
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author Ling Chen
Xin Yang
Yunshi Zhang
Long Zhang
Youchen Xia
author_facet Ling Chen
Xin Yang
Yunshi Zhang
Long Zhang
Youchen Xia
author_sort Ling Chen
collection DOAJ
description Abstract Different angles and central axis length combinations of the reading man flap were studied to determine the optimal angles and central axis length combinations for reducing the stress on the flap tip. First, different models and corresponding finite element models of flaps with different angles and central axial lengths were established by ANSYS software. Then, skin flap transfer was achieved through forced displacement, and the stress distributions of the flap with different angles and central axial lengths under different materials were obtained. Finally, the stress distributions of the flaps of each case were compared and analysed. The results shows: (1) The optimal angle and central axis for reducing the stress of the flap tip are 60° for the quadrangular flap, 45° for the triangular flap, with a 2 fold increase in length of the central axial relative to the diameter of the circular defects. (2) The quadrangular flap tip tends to have a greater possibility of complications than does the triangular flap tip. (3) The stress of the triangular flap tip is more sensitive to the angle and central axis length. (4) The stress of the flap tip in elderly people is greater than that in young people with the same design and position, which leads to greater possibility of complications at the flap tip in elderly patients than in young patients.
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institution Kabale University
issn 2045-2322
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spelling doaj-art-3c55f0fe9b1f479caac646322d5d9bbe2025-01-26T12:32:22ZengNature PortfolioScientific Reports2045-23222025-01-0115111010.1038/s41598-025-87141-1Evaluation and comparison of reading man flap based on different designs of angles and central axial lengths using finite element methodLing Chen0Xin Yang1Yunshi Zhang2Long Zhang3Youchen Xia4Department of Wound Healing Center, Peking University Third HospitalDepartment of Plastic Surgery, Peking University Third HospitalChina Electronic Engineering Design Institute Co. LtdDepartment of Wound Healing Center, Peking University Third HospitalDepartment of Plastic Surgery, Peking University Third HospitalAbstract Different angles and central axis length combinations of the reading man flap were studied to determine the optimal angles and central axis length combinations for reducing the stress on the flap tip. First, different models and corresponding finite element models of flaps with different angles and central axial lengths were established by ANSYS software. Then, skin flap transfer was achieved through forced displacement, and the stress distributions of the flap with different angles and central axial lengths under different materials were obtained. Finally, the stress distributions of the flaps of each case were compared and analysed. The results shows: (1) The optimal angle and central axis for reducing the stress of the flap tip are 60° for the quadrangular flap, 45° for the triangular flap, with a 2 fold increase in length of the central axial relative to the diameter of the circular defects. (2) The quadrangular flap tip tends to have a greater possibility of complications than does the triangular flap tip. (3) The stress of the triangular flap tip is more sensitive to the angle and central axis length. (4) The stress of the flap tip in elderly people is greater than that in young people with the same design and position, which leads to greater possibility of complications at the flap tip in elderly patients than in young patients.https://doi.org/10.1038/s41598-025-87141-1Reading man procedureLocal flapsSkin defectsFinite element methodDesign
spellingShingle Ling Chen
Xin Yang
Yunshi Zhang
Long Zhang
Youchen Xia
Evaluation and comparison of reading man flap based on different designs of angles and central axial lengths using finite element method
Scientific Reports
Reading man procedure
Local flaps
Skin defects
Finite element method
Design
title Evaluation and comparison of reading man flap based on different designs of angles and central axial lengths using finite element method
title_full Evaluation and comparison of reading man flap based on different designs of angles and central axial lengths using finite element method
title_fullStr Evaluation and comparison of reading man flap based on different designs of angles and central axial lengths using finite element method
title_full_unstemmed Evaluation and comparison of reading man flap based on different designs of angles and central axial lengths using finite element method
title_short Evaluation and comparison of reading man flap based on different designs of angles and central axial lengths using finite element method
title_sort evaluation and comparison of reading man flap based on different designs of angles and central axial lengths using finite element method
topic Reading man procedure
Local flaps
Skin defects
Finite element method
Design
url https://doi.org/10.1038/s41598-025-87141-1
work_keys_str_mv AT lingchen evaluationandcomparisonofreadingmanflapbasedondifferentdesignsofanglesandcentralaxiallengthsusingfiniteelementmethod
AT xinyang evaluationandcomparisonofreadingmanflapbasedondifferentdesignsofanglesandcentralaxiallengthsusingfiniteelementmethod
AT yunshizhang evaluationandcomparisonofreadingmanflapbasedondifferentdesignsofanglesandcentralaxiallengthsusingfiniteelementmethod
AT longzhang evaluationandcomparisonofreadingmanflapbasedondifferentdesignsofanglesandcentralaxiallengthsusingfiniteelementmethod
AT youchenxia evaluationandcomparisonofreadingmanflapbasedondifferentdesignsofanglesandcentralaxiallengthsusingfiniteelementmethod