Ulus Travma Acil Cerrahi Derg. 2021; 27(5): 583-589 | DOI: 10.14744/tjtes.2020.92589

Reverse sural flep: Ayak anterolateralindeki araba lastiði yaralanmalarýnda klinik tecrübemiz

Abdulkadir Sarý¹, Ismail Bülent Özçelik^2
1Namýk Kemal Üniversitesi Týp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalý, Tekirdað
²Ýstanbul El Cerrahisi Grubu, Yeniyüzyýl Universitesi, Özel Gaziosmanpaþa Hastanesi Nisantaþý Universitesi Meslek Yuksekokulu, Ýstanbul

AMAÇ: Ayak anterolateralindeki araba tekeri yaralanmasýna baðlý defektlerin örtümü; hem bölgenin özellikleri hemde travma karakteri nedeniyle güçlükler içermektedir. Amacýmýz lastik yaralanmasý sonrasý ayak dorsolateralindeki cilt defekti geliþen olgularýn reverse sural arter fasyokütanoz flep ile örtüm sonuçlarýný sunmaktýr.
GEREÇ VE YÖNTEM: Bu çalýþmada, 2000–2014 yýllarý arasýnda, ortalama yaþý 26.9 yýl (daðýlým, 5–46 yýl) ve ayaðýn dorsolateralinde araba tekerine baðlý doku kaybý bulunan 14 hasta geriye dönük olarak deðerlendirildi. Ortalama defekt büyüklüðü 27.1 cm2 bulundu. Olgular doku örtümü ve komplikasyonlar açýsýndan ortalama 32.4 ay takip edildi.
BULGULAR: Erken donemde fleplerin ikisinde marjinal nekroz geliþmesine raðmen tüm olgularda ek rekonstrüksiyon gerektirmeden baþarýyla doku örtümü saðlandý. Donör saha sorunlarýyla karþýlaþýlmadan tüm hastalarda donör bölgeler primer olarak örtüldü.
TARTIÞMA: Ayak anterolateral araba tekeri yaralanmalarýnda, olgu temelli yaklaþýmla reverse sural arter fasyokütanoz flepler ile düþük komplikasyon ve yüksek baþarý elde edilebilir.

Anahtar Kelimeler: Ayak-ayak bileði, fasyokütan flep, microcerrahi, reverse sural arter flep; teker.

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Reverse sural flap: Our clinical experience with car tire injuries in the anterolateral aspect of the foot

Abdulkadir Sarý¹, Ismail Bülent Özçelik^2
1Department of Orthopaedics and Traumatology, Namýk Kemal University Faculty of Medicine, Tekirdað-Turkey
²Ýstanbul Hand Surgery Group, Yeniyüzyýl University, Gaziosmanpaþa Hospital in Niþantaþý University Vocational School, Ýstanbul-Turkey

BACKGROUND: Defects due to car wheel injury at the anterolateral aspect of the foot are challenging due to the characteristics of the region and the trauma. The aim of this study was to present the results of the patients whose skin defects on the dorsolateral aspect of the foot due to tire injuries were treated with reverse sural artery fasciocutaneous flaps.
METHODS: Fourteen patients with a mean age of 26.9 years (range: 5–46 years) who experienced loss of tissue at the dorsolateral aspect of the foot due to tire injury between the years 2000 and 2014 were evaluated retrospectively. The mean defect size was 27.1 cm2. The patients were followed up for observing the tissue coverage and complications throughout a mean period of 32.4 months.
RESULTS: Despite the development of marginal necrosis in two flaps in the early period, tissues in all cases were successfully covered without requiring additional reconstruction. Primary donor site coverage was achieved in all patients without any donor site problems.
CONCLUSION: In case of tire injuries at the anterolateral aspect of the foot, low complication and high success rates can be achieved with a case-based approach with reverse sural artery fasciocutaneous flap coverage.

Keywords: Car tire, fasciocutaneous flap, foot and ankle; microsurgery; reverse sural artery flap.

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ATIF KOPYALA