Ulus Travma Acil Cerrahi Derg. 2010; 16(4): 367-370

Alt ekstremite yakýn mesafe pompalý tüfek yaralanmalarýnda grasilis serbest kas flebi ile onarým: Ýki olgu sunumu

Tahsin Oðuz Acartürk
Çukurova Üniverstesi Týp Fakültesi, Plastik, Rekonstrüktif Ve Estetik Cerrahi Anabilim Dalý, Adana.

Yakýn mesafeden oluþan pompalý tüfek yaralanmalarý uzuvlarda tedavisi zor yaralara neden olur. Bu yaralanmalarýn sýfýr noktasýndan yapýlmasý uzuvlarda tipik olarak derin fakat geniþ olmayan kaviter yaralar oluþturur. Bunlarýn tedavisinde çoðunlukla doku nakline ihtiyaç vardýr. Bu þekilde yaralanmýþ iki olguda debridman, negatif basýnçlý pansuman ve serbest grasilis kas flebinin kullanýmý sunulmuþtur.

Anahtar Kelimeler: Yakýn mesafeden vurulma, grasilis kas flebi; ekstremite travmasý.

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Reconstruction of lower extremity close-range shotgun injuries with gracilis free flap: a report of two cases

Tahsin Oðuz Acartürk
Department Of Plastic, Reconstructive And Aesthetic Surgery, Cukurova University Faculty Of Medicine, Adana, Turkey.

Close-range shotgun injury to the lower extremity is a devastating problem and is a challenge to the surgeon. Point-blank shotgun injuries to the extremities create a typical wound that is deep but not wide. These wounds almost always need to be treated with local or distant tissue transfer. We report two cases of shotgun injury to the lower extremity at point-blank range, which were treated using debridement, vacuum-assisted closure and free gracilis muscle flap transfer.

Keywords: Close range shotgun, gracilis free flap; lower extremity trauma.

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