Alt Ekstremite Rekonstrüksiyonu: 5 Yıllık Klinik Deneyim

Amaç: Birçok nedene bağlı olarak karşılaşılan alt ekstremite yumuşak doku defektlerinin tedavisi oldukça zordur. Rekonstrüksiyon merdiveni ve asansörün kullanımı defektin yerine uygun rekonstrüksiyon yöntemine yönlendirir. Gereç ve Yöntemler: Kliniğimizde 2014-2019 yılları arasında tedavi edilen 162 alt ekstremite defektli hasta retrospektif olarak değerlendirdi. Hastalar yaş, cinsiyet, eşlik eden morbidite faktörleri, defekt yerleşim yeri, etiyoloji, rekonstrüksiyon yöntemi, komplikasyon ve ikincil rekonstrüksiyon yöntemlerine göre karşılaştırıldı. Bulgular: Hastaların 48'i kadın, 114'ü erkekti. Yaş aralığı 5 ile 91 arasındaydı. Defektlerin en sık etiyolojisi travmaydı. En sık görülen defekt bölgesi ayak ve bacakta idi. En sık tercih edilen rekonstrüksiyon yöntemi cilt greftleri idi, bunu serbest flepler izliyordu. Tüm onarımların başarısızlık oranı %11 olarak izlendi. Sonuç: Alt ekstremite defektlerinin serbest veya perforator flep ile rekonstrüksiyonu güvenilir ve etkili bir yöntemdir.

Anahtar Kelimeler:

Alt ekstremite rekonstrüksiyonu, Perforatör flep, Free flap

Lower Extremity Reconstruction: 5 Years of Clinical Experience

Aim: Management of lower extremity soft tissue defects, which are encountered due to many reasons is quite difficult. The use of the reconstructive ladder and elevator directs to the appropriate reconstruction method for these defects. Materials and methods: We retrospectively evaluated 162 patients with lower extremity defects treated in our clinic between 2014 and 2019. The patients were evaluated according to age, gender, accompanying morbidity factors, defect location, etiology, reconstruction method, complication and secondary reconstruction methods. Results: Of the 48 were female and 114 were male. The age range was between 5 and 91. The most common etiology of the defects was trauma. The most common defect site was in foot and leg. The most commonly preferred reconstruction method was skin grafts, followed by free flaps. The failure rate of all reconstructions was 11%. Conclusion: Reconstruction of lower extremity defects with free or perforator flaps is a reliable and effective method.

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