An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap

ASLANER, Emrah Efe; GENCEL, EYÜPHAN; ESER, Cengiz; YAVUZ, Metin; KESİKTAŞ, Erol

An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap

Cengiz ESER, (Çukurova Üniversitesi, Tıp Fakültesi, Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı, Adana, Türkiye)

Erol KESİKTAŞ, (Çukurova Üniversitesi, Tıp Fakültesi, Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı, Adana, Türkiye)

Eyüphan GENCEL, (Çukurova Üniversitesi, Tıp Fakültesi, Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı, Adana, Türkiye)

Emrah Efe ASLANER, (Çukurova Üniversitesi, Tıp Fakültesi, Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı, Adana, Türkiye)

Metin YAVUZ (Çukurova Üniversitesi, Tıp Fakültesi, Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı, Adana, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

1 0

Yıl: 2016 Cilt: 22 Sayı: 1 Sayfa Aralığı: 46 - 51 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap

Öz:

AMAÇ: Yüksek voltajlı elektrik yanıkları özellikle ekstremite distallerinde çok ciddi hasarlara neden olabilir. Her ne kadar distal alt ekstremite onarımlarında serbest flepler altın standart olsa da bazı durumlarda lokal flep uygulamaları daha avantajlı olabilir. Lokal flep seçeneklerinden sık kullanılanlardan biri distal bazlı sural fleptir (DBSF). Distal bazlı sural flep, aynı ekstremitenin yüksek voltajlı elektrik yanığından ciddi derecede etki-lendiği durumlarda karşı bacaktan beslemeli şekilde uygulanabilir. Bu çalışmada 2003 ile 2013 yılları arasında distal alt ekstremielerinde yüksek voltajlı elektrik yanığı oluşan ve karşı ekstremiteden hazırlanan DBSF ile rekonstrükte edilen 11 hasta ve uzun dönem sonuçları değerlendirildi.GEREÇ VE YÖNTEM: Geriye dönük olarak 2003'ten 2013'e kadar ki sürede, yüksek voltajlı elektrik yaralanmalarından zarar gören 11 hasta ince-lenmiştir. Tüm hastalar erkekti. Alt bacak ve ayakları da dahil vücutlarının birçok kısmında ikinci ve üçüncü dereceden elektrik yanıklar vardı. Yaraların yedisi sağ kolda ve dördü solda idi. Yaralar, beş hastanın ayak bileği kısmında, dört hastanın ayak sırtında, bir hastanın aşilinde ve bir hastanın da ayak tabanında idi.BULGULAR: Tüm fleplerde adaptasyon, renk ve doku uyumu kabul edilebilir seviyelerdeydi.TARTIŞMA: Yüksek voltajlı elektrik yanıklarına bağlı alt bacak ve ayak defektlerinde serbest fleplere alternatifolarak kullanılan karşı ekstremite beslemeli DBSF, doku uyumu iyi, yeterli kalite ve kantiteye sahip, uzun dönem komplikasyon oranı düşük, kullanışlı bir fleptir.Anahtar sözcükler: Distal bazlı sural flep; serbest flep; yüksek voltajlı elektrik yanığ

Anahtar Kelime:

Konular: Cerrahi

Elektrik yanığına bağlı distal alt ekstremite ve ayak defektleri onarımında serbest flebe alternatif bir metod: Karşı ekstremite beslemeli distal bazlı sural flep

Öz:

BACKGROUND: High voltage electrical injuries can cause devastating results especially in distal extremities. Although free flaps are the golden standards for the reconstruction of these defects, sometimes local flap alternatives are more useful. One of the most favorable local flap is distally based sural flap (DBSF), which can be used in cross-leg fashion when ipsilateral extremity is affected by a high voltage electrical injury. The purpose of this study was to evaluate long term results of eleven patients who underwent a reconstruction to the lower extremity with cross-leg DBSF due to high voltage electrical burn injury between the years of 2003-2013. METHODS: Eleven patients suffering from high voltage electrical injury from 2003 to 2013 were evaluated retrospectively. All patients were male and had deep 2nd and 3rd degree electrical burns on many parts of their bodies, including their lower legs and feet. Seven of the defects were located on the right limb and four of them on the left. Defects were located in the ankle area in five patients, dorsum of the foot in four patients, achilles area in one patient, and the plantar region in one patient.RESULTS: The adaptation of flaps to the recipient site, colour, and quality were all acceptable.CONCLUSION: As an alternative to free flaps, the cross-leg DBSF has good tissue compliance, provides tissue of adequate quantity and quality, and has low complication rates in the long term in high voltage electrical injuries of the leg and foot

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ESER C, KESİKTAŞ E, GENCEL E, ASLANER E, YAVUZ M (2016). An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap. , 46 - 51.
Chicago	ESER Cengiz,KESİKTAŞ Erol,GENCEL EYÜPHAN,ASLANER Emrah Efe,YAVUZ Metin An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap. (2016): 46 - 51.
MLA	ESER Cengiz,KESİKTAŞ Erol,GENCEL EYÜPHAN,ASLANER Emrah Efe,YAVUZ Metin An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap. , 2016, ss.46 - 51.
AMA	ESER C,KESİKTAŞ E,GENCEL E,ASLANER E,YAVUZ M An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap. . 2016; 46 - 51.
Vancouver	ESER C,KESİKTAŞ E,GENCEL E,ASLANER E,YAVUZ M An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap. . 2016; 46 - 51.
IEEE	ESER C,KESİKTAŞ E,GENCEL E,ASLANER E,YAVUZ M "An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap." , ss.46 - 51, 2016.
ISNAD	ESER, Cengiz vd. "An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap". (2016), 46-51.

APA	ESER C, KESİKTAŞ E, GENCEL E, ASLANER E, YAVUZ M (2016). An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap. Ulusal Travma ve Acil Cerrahi Dergisi, 22(1), 46 - 51.
Chicago	ESER Cengiz,KESİKTAŞ Erol,GENCEL EYÜPHAN,ASLANER Emrah Efe,YAVUZ Metin An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap. Ulusal Travma ve Acil Cerrahi Dergisi 22, no.1 (2016): 46 - 51.
MLA	ESER Cengiz,KESİKTAŞ Erol,GENCEL EYÜPHAN,ASLANER Emrah Efe,YAVUZ Metin An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap. Ulusal Travma ve Acil Cerrahi Dergisi, vol.22, no.1, 2016, ss.46 - 51.
AMA	ESER C,KESİKTAŞ E,GENCEL E,ASLANER E,YAVUZ M An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap. Ulusal Travma ve Acil Cerrahi Dergisi. 2016; 22(1): 46 - 51.
Vancouver	ESER C,KESİKTAŞ E,GENCEL E,ASLANER E,YAVUZ M An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap. Ulusal Travma ve Acil Cerrahi Dergisi. 2016; 22(1): 46 - 51.
IEEE	ESER C,KESİKTAŞ E,GENCEL E,ASLANER E,YAVUZ M "An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap." Ulusal Travma ve Acil Cerrahi Dergisi, 22, ss.46 - 51, 2016.
ISNAD	ESER, Cengiz vd. "An alternative method to free flap for distal leg and foot defects due to electrical burn injury: distally based cross-leg sural flap". Ulusal Travma ve Acil Cerrahi Dergisi 22/1 (2016), 46-51.