Mahmut MUTLU, Emre YURDAKUL, Fatih KARAARSLAN

ÇAPRAZ BACAK FLEBI UYGULAMALARIMIZ VE LITERATÜRÜN GÖZDEN GEÇİRİLMESİ

Bu çalışmada alt ekstremite tip 3c açık kırıklarda çapraz bacak flebi ile yapılan rekonstruksiyon uygulanan 4 hasta sunulmaktadir. Çapraz bacak flebi özellikle verici saha damar yapılarının ağır hasara uğradığı kemiğin açıkta olduğu yaralanmalarda çapraz bacak flebi, taşıdığı ek avantajlar ile güvenilir ve uygun bir seçenektir. Serbest fleplerin uygun olmadığı hastalarda iyi bir seçenektir.

Cross Leg Flap; Report of a Small Series and Literature Review

ABSTRACT This article reports 4 cross-leg free composite tissue flaps for repairing the severe composite tissue defects in lower leg without suitable adjacent recipient vasculature for microvascular anastomosis. These flaps are safe and effective alternative in lower extremity reconstruction. İn the absence of appropriate recipient vessels cross-leg free flaps may provide successful repair. Cross-leg flaps are a good choice for reconstructing traumatized lower extremities, especially when free flaps cannot be used. The objective of this study was to introduce a method for repairing large soft-tissue defects on the lower extremity.

PDF

___

1. Lixuan Lu, Antang Liu, Lie Zhu. Cross-Leg Flaps: Our preferred alternative to free flaps in the treatment of complex traumatic lower extremity wounds. J American collage of surgeons. 2013; 217(3):461-471. 2. Contedini, L. Negosanti, E. Cross-Leg as Salvage Procedure after Free Flaps Transfer Failure: ACase Report. Case Reports in Orthopedics. 2012; doi:10.1155/2012/205029. 3. Agarwal P, Raza H. Cross-leg flap: its role in limb salvage. Indian Journal of Orthopaedics. 2008; 42(4): 439443. 4. A. V. Georgescu, C. Irina, and M. Ileana, Cross-leg tibial posterior perforator flap, Microsurgery. 2007; 27(5):379 383. 5. Dong ZG, Liu LH and Zheng L. Reconstruction of foot and ankle defect with reversed sural neurofasciocutaneous flaps in children. Za Zhi. 2008; 24(1): 20-22. 6. B. Potén. The fasciocutaneous flap: its use in soft tissue defects of the lower leg. Br J Plast Surg.1981;34(2):215220. 7. A.C. Masquelet, M.C. Romana, G. Wolf. Skin island flaps supplied by the vascular axis of the sensitive superficial nerves: anatomic study and clinical experience in the leg. Plast Reconstr Surg. 1992;89(6):11151121. 8. R.J. Fix, L.O. Vasconez. Fasciocutaneous flaps in reconstruction of the lower extremity. Clin Plast Surg. 1991;18(3):571582. 9. Momeni A, Buntic RF, Buncke GM. Cross-leg flaps: preferred alternative to free flaps? J Am Coll Surg. 2014;218(2):308-9.