Yalçın KÜLAHÇI, Celalettin SEVER

Reconstruction of various moderate-size foot defects with the medial plantar flap

Amaç: Ayakta bulunan yumuşak doku defektlerinin onarımında Medial Plantar Flep ideal bir seçenektir. Ayak defektlerinin onarımında ince, ve duyusal bir flep düşünülüyorsa Medial Plantar Flep ilk önce akla gelmesi gereken lokal fleplerden biridir. Bu çalışmada, Medial Plantar Flep ile ilgili klinik tecrübelerimiz tartışılmaktadır. Gereç ve Yöntemler: Bu klinik çalışmada ayak distalinde, topukta ve ayak bileği bölgesinde yumuşak defekti olan toplam 11 hasta opere edildi. Tüm hastaların yaşları, cinsiyetleri, mevcut olan defektlerin lokalizasyonu ve defektlerin nedeni, yapılan operasyonların sonucu ve komplikasyonları kaydedildi. Bulgular: Hastaların tümü erkekti ve yaş ortalaması 21 olarak hesaplandı. Uygulanan 11 flebin sadece birinde parsiyel nekroz saptandı. Fleplerin ortalama genişliği 3 - 5.5 cm ve uzunluğu 2 - 6 cm olarak hesaplandı. Tüm flepler kapatılan defekt alanlarına adapte oldu ve tüm fleplerin kalınlığı defekt bölgesinin anatomisiyle uyumluydu. Hastaların ortalama takip süresi ise 9 ay olarak belirlendi. Sonuç: Medial Plantar Flep, ayak bileği, topuk ve ayak distalinde bulunan orta büyüklükteki yumuşak doku defektlerin onarımı için idealdir. Uygulanan cerrahi işlemin tekniği basittir, güvenlidir ve bu flep mikrocerrahi onarım yöntemlerine bir alternatiftir.

Medial plantar flep ile ayak defektlerinin onarımı

Background: Coverage of soft tissue defects of the foot has been a challenge to reconstructive surgeons. The medial plantar flap presents an ideal tissue, particularly for the reconstruction of foot defects.. In this study, we describe our experience with medial plantar flap for coverage of foot defects. Patients and Methods: Eleven patients with soft-tissue defects over the plantar foot, distal forefoot,posterior heel, and ankle were treated. Preoperative data, the age and sex of each patients, cause and site of defects, dimension of flaps, postoperative results and complications were recorded. Results: All patients were male, with ages ranging from 20 to 22 years (mean; 21 years). Postoperatively 10 flaps survived completely while partial necrosis was observed in one patient. Flap size varied from a width of 3 to 5.5 cm and a length of 2 to 6 cm. All survived flaps used to cover defects adapted well to their recipient areas, providing good color match and sufficient bulkiness. The mean follow-up period was 9 months. Conclusion: The authors advocate that medial plantar flap is a versatile, reliable procedure, useful in reconstruction of modarate-size heel, ankle and distal forefoot defects. The surgical technique is safe, and provides alternative to microsurgical reconstruction.

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