TY  - JOUR
TT  - REVASCULARIZATION OF A SUBTOTAL AMPUTATED EXTREMITY AND ITS SYNCHRONOUS FUNCTIONAL RECONSTRUCTION
AU  - Kamburoğlu, Haldun Onuralp
AU  - Aksu, Ali Emre
AU  - Şafak, Tunç
AU  - Yörük, Ebru
PY  - 2012
DA  - August
JF  - Türk Plastik Rekonstrüktif Ve Estetik Cerrahi Dergisi
JO  - turkplastsurg
PB  - Turkish Society of Plastic Reconstructive and Aesthetic Surgeons
WT  - DergiPark
SN  - 1300-6878
SP  - 31
EP  - 33
VL  - 20
IS  - 2
KW  - Dirsek Rekonstrüksiyonu
KW  - Önkol Revaskülarizasyonu
KW  - Fonksiyonel Kas Transferi
KW  - Latissumus Dorsi Flebi
N2  - A thirty year old male patient presented to our hand surgery team 2 hours after a motor vehicle accident. His physical examination revealed lack of circulation in his right forearm with totally severed median and ulnar nerves and loss of forearm flexion. Additionally, a 14 x 7 cm skin area was lost. After brachial artery anastomosis with vein graft and median and ulnar nerve coaptation, a functional latissimus dorsi musculo-cutaneous flap was transferred to maintain elbow flexion and defect coverage. However, an excursion problem occurred in the post operative third month. In order to fix this, insertio of the muscle was transferred to a more proximal position. Post operative one year result was satisfactory with the complete flexion of the elbow. This problem appears to occur due to insufficient muscle relaxation during first surgery. In this report the importance of the monitoring anaesthesia and muscle relaxation  during this type of functional muscle transfer was stressed to ensure optimum results.
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UR  - https://dergipark.org.tr/en/pub/turkplastsurg/issue//246809
L1  - https://dergipark.org.tr/en/download/article-file/214630
ER  -