Ersoy KEKİLİ, Ali GÜRLEK, Hakan AYDOĞAN, Türk Bilge BİLEN, Ayşe ERSÖZ, Mehmet ÇELİK, Serkan ASLAN

Kompozit serratus anterior flebiyle klavikulanın vaskülarize rekonstruksiyonu

Klavikula defektlerinin rekonstrüksiyonunda, non-vaskülarize kemik grefti veya vasküler serbest kemikli flepler genelde tercih edilirler. Ateşli silahla yaralanma sonucu kliniğimize başvuran 25 yaşındaki kadın hastada yaklaşık 12 cm'lik sol klavikula defekti, 10x10 cm'lik cilt defekti ve brakial pleksus yaralanması mevcuttu. Brakial pleksus onarımı yapıldıktan sonra, yumuşak doku ve kemik defekti, pediküllü kompozit serratus anterior flebiyle rekonstrükte edildi. Böylece; serbest flep kullanımına gerek kalmadan, hızlı bir şekilde vaskülarize kemikle klavikula ve yumuşak doku rekonstrüksiyonunu gerçekleştik.

Reconstruction of clavicula with vascularized composite serratus anterior flap

In the reconstruction of clavicular defects, non-vasculer bone grefts or vascularized free compozite flaps are usually prefered. In this report, a 25 year old woman was presented with a 12 cm bone defect in left clavicula, together with a skin defect of about 10x10 cm and left brachial plexus injury due to a gun-shot. After brachial plexus reconstruction, soft tissue and bone defect were reconstructed with pedicled composite serratus anterior flap. By this method, we implemented the rapid reconstruction of the clavicula and the soft tissue by vascularized bone without using a free flap.

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