Arda ÖZDEMİR, Ömer Arda ÇETİNKAYA, İlkay Şamil BEYDİLLİ, Hakan KOCAOĞLU, İskender ALAÇAYIR

Trafik Kazası Yaralanmasına Bağlı Alt Ekstremite Dolaşım Bozukluğu Olan Hastanın Sıralı Kompozit Greft Kullanılarak Revaskülarizasyonu: Olgu Sunumu

Trafik kazaları, genç yetişkinler arasında alt ekstremite yaralanmasının en yaygın nedenidir. Venöz ve arteriyel sistemin tamamen veya kısmi ruptürü gibi vasküler yaralanmaya bağlı dolaşım sorunları, bu tür travmalara bağlı morbiditenin önemli nedenidir. Bu durumlarda ve hasta stabil olduğu sürece, revaskülarizasyon ekstremiteyi kurtarmak için ilk seçenek olmalıdır; aksi takdirde ise ampütasyon yapılabilir. Bu olgu sunumunda, kompozit greft ve safen ven ile geç senkron revaskülarizasyon ile tedavi edilen, çok parçalı femur kırığı, sol alt ekstremite yumuşak dokuda geniş harabiyet ve popliteal arter yaralanması olan bir hasta bildirilmiştir.

Revascularization by Using Sequential Composite Graft of a Patient Suffering from Traffic Accident with Lower Extremity Circulation Disorder: A Case Report

Traffic accidents are the most common cause of the lower extremity injury among the young adults. Circulatory problems due to vascular injury, such as total or partial rupture of venous and arterial system are the significant cause of the morbidity related to this kind of trauma. In these cases, revascularization should be the first option to rescue the extremity unless the patient is stable; otherwise, amputation can be performed. Here we reported a patient with multifragment fracture of femur, wide destruction of the soft tissue and popliteal artery injury of the left lower extremity due to the traffic accident, who was treated with late synchronous revascularization with composite graft and saphenous vein.

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