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- Title
Bacak 1/3 Proksimali Geniş Defektlerinde Kimerik Gastroknemius-Medial Sural Arter Perforatör Fasyokütan Pervane Flep Kullanımı.
- Authors
Demir, Can İlker; Yaşar, Emrah Kağan; Uzun, Ceyhun; Gök, Aykut; Davun, Kıvanç; Alagöz, Murat Şahin
- Abstract
Objective: The gastrocnemius muscle flap is the most commonly used reconstruction option for the defects of the upper third lower limb. This flap has an important role in filling the dead space or dealing with osteomyelitis, if present. However, the arc of rotation renders the flap inadequate for both the lateral and superior knee joint and the patellar region. Therefore, in cases with large defects around the knee, there are various methods to improve the extended gastrocnemius muscle flap. These methods can extend the surgery period and jeopardize flap viability. In this article we want to describe our experiences of chimeric flap elevating by adding the medial sural artery perforator fasciocutaneous propeller flap to the muscle flap for the reconstruction of the knee region, especially the lateral side where gastrocnemius muscle flap cover is insufficient. Material and Methods: We used chimeric gastrocnemius-medial sural artery perforator propellar flap for reconstruction in 2 patients with a wide defect in 1/3 leg proximal. Results: There were no postop complications and the reconstruction procedure achieved acceptable aesthetic and functional outcomes. Conclusion: The chimeric medial gastrocnemius muscle and sural artery perforator fasciocutaneous propellar flap can be used effectively in the wide defects of the knee region, because it minimizes donor site morbidity, encloses the knee lateral and the patellar area, and does not necessitate microsurgery.
- Publication
Turkish Journal of Plastic Surgery, 2017, Vol 25, Issue 4, p173
- ISSN
1300-6878
- Publication type
Article
- DOI
10.5152/TurkJPlastSurg.2017.2297