Sinan ÖKSÜZ, Fikret EREN, Cenk MELİKOĞLU, Bilge Kağan AYSAL, Ersin ÜLKÜR

DİZ ÇEVRESİ ONARIMI İÇİN AKILDA BULUNDURULMASI GEREKEN BİR ALTERNATİF: PROKSİMAL TABANLI SAFEN FLEP

Alt ekstremitenin orta 1/3 bölümündeki doku eksikliklerinin lokal onarım seçenekleri nispeten sınırlıdır. Bu bölgenin rekonstrüksiyonunda lokal seçenekler arasında bulunan safen flep, son dönemlerde ters akımlı olarak daha da popüler olmuş ve alt eksremite distalinde kullanım alanı bulmuştur. Alt ekstremitede diz çevresi yumuşak doku defekt- lerinin onarımı için proksimal tabanlı safen flep fonksiyonel herhangi bir kayba neden olmadan kolaylıkla uygulanabilecek uygun bir alternatif olarak ön plana çıkmaktadır.

An Alternate Flap to Keep in Mind to Repair Soft Tissue Defects Around the Knee: Proximally- Based Saphenous Flap

Local soft tissue reconstruction options of middle third of the lower extremity are relatively limited. The saphenous flap that is an option for this region of lower extremity is more popular in recent years as a reverse flow and has used for the distal part of the lower extremity. For the reconstruction of soft tissue defects around the knee proximally- based saphenousflap can easily be applied without causing any loss of function and seems to be a suitable alternative.

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1. Nenad t, Reiner W, Micheal S, Reinhard H, Hans H. Saphenous perfotaror flap for recontructive surgery in the lower leg and the foot: a clinical sutudy of 50 patients with posttraumatic osteomyelitis J Trauma 2010;68(5):1200-7.
2. Acland RD, Schusterman M, Godina M,Eder E, Taylor GI, Carlisle I. The saphenous neurovascular free flap. Plast Reconstr Surg 1981;67(6):763-74.
3. Karamürsel S. Celebioğlu S. Use of the medial side of the knee skin as a free flap : saphenous flap. Plast Reconstr Surg 2006, 117 (4):1308-14.
4. Wiedner M, Koch H, Scharnagl E.The superior lateral genicular artery flap for soft-tissue reconstruction around the knee: clinical experience and review of the literature. Ann Plast Surg 2011;66(4):388-92.
5. Kim YJ, Lee JW, Ko JH, Seo DG, Oh SJ, Jang YC. Reconstruction on Patellar Area with the Saphenous Island Flap J Korean Soc Planst Reconstr Surg 2006;033(05): 536-40.
6. Reddy V, Stevenson TR. MOC-PS(SM) CME article: lower extremity reconstruction. Plast Reconstr Surg 2008;121(4):1-7.
7. Koshima I, Endou T, Soeda S, Yamasaki M. The free or pedicled saphenous flap. Ann Plast Surg 1988;21(4):369-74.