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A comparison of the free flaps to conventional procedures in terms of the lower extremity tissue defects

Year 1997, Volume: 31 Issue: 2, 124 - 128, 11.09.2006

Derya Ozcelik Umit Boratac Ismail Kuran Lutfu Bas

Abstract

Between 1987 and 1995, 66 patients who were treated with diagnosis of the complicated lower extremity tissue defect were evaluated by a retrospective study. In this study, the results of free flap transplantations and conventional methods were compared in points of the hospitalization time, number of general anesthesia, total cost, type, location and size of defect, and complications during early and late postoperative periods as well. Of 66 patients, 51 were treated with conventional methods, and 15 patients underwent reconstruction of lower extremities with free flap transplantation. The case number of conventional flaps that implies cross-leg flaps and flaps prepared from the same extremity was 27 and 24 respectively. As a result of these comparative study, flaps prepared from the same extremity is considered to be primary choice of treatment modalities in case of proper indication. And the free flap applications are recorded as superior to the cross-leg applications regarding the shorter hospitalization time, reconstruction with the one-stage operation, and the earlier mobilization chance; but inferior to all conventional methods regarding the higher cost, the longer operative time and the necessity of qualified team for microsurgical technique.

Keywords

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Alt ekstremite defektlerinin tedavisinde serbest flepler ile konvansiyonel yöntemlerin karşılaştırılması

Year 1997, Volume: 31 Issue: 2, 124 - 128, 11.09.2006

Derya Ozcelik Umit Boratac Ismail Kuran Lutfu Bas

Abstract

1987-1995 yılları arasında, kliniğimizde alt ektremitede doku defekti nedeniyle tedavi edilen 66 hasta, retrospektif bir çalışma ile değerlendirildi. Çalışmamızda, serbest doku transferi ile konvansiyonel tedavi uygula-maları; hastanede kalış süresi, genel anestezi atma sayısı, toplam maliyet, defektin türü, lokalizasyonu, ebat-ları, ve erken dönem, geç dönem ameliyat sonrası komplikasyonlar yönünden karşılaşan idi. 66 hastanın 51'lne konvansiyonel, 15'ine serbest flep yöntemiyle onarım uygulandığı belirlendi. Konvansiyonel yöntemlerle onarım yapılmış 51 olgunun 27'sı çapraz bacak, 24'ü aynı ekstremiteden hazırlanan fleplerdi. Karşılaştırmalı çalış-manın sonucunda; uygun olduğu durumlarda aynı bacaktan hazırlanan fleplerin öncelikle; uygun olmadığı du-rumlarda, serbest fleplerin, çapraz bacak fleplerinin tedavi seçeneği olarak düşünülmesi gereği belirlendi. Serbest fleplerin çapraz fleplere kıyasla kısa hospitalizasyon, tek seansta onarım ve erken mobilizasyon açısından avantajlı olduğu gözlendi. Buna karşın maliyetinin yüksek olması, ameliyat süresinin uzunluğu serbest flep yönteminin dezavantajlarını oluşturmaktaydı.

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Details

Primary Language English
Journal Section Original Article
Authors

Derya Ozcelik This is me

Umit Boratac This is me

Ismail Kuran This is me

Lutfu Bas This is me

Publication Date September 11, 2006
Published in Issue Year 1997 Volume: 31 Issue: 2

Cite

APA Ozcelik, D., Boratac, U., Kuran, I., Bas, L. (2006). A comparison of the free flaps to conventional procedures in terms of the lower extremity tissue defects. Acta Orthopaedica Et Traumatologica Turcica, 31(2), 124-128. https://doi.org/10.3944/aott.v31i2.2114
AMA Ozcelik D, Boratac U, Kuran I, Bas L. A comparison of the free flaps to conventional procedures in terms of the lower extremity tissue defects. Acta Orthopaedica et Traumatologica Turcica. September 2006;31(2):124-128. doi:10.3944/aott.v31i2.2114
Chicago Ozcelik, Derya, Umit Boratac, Ismail Kuran, and Lutfu Bas. “A Comparison of the Free Flaps to Conventional Procedures in Terms of the Lower Extremity Tissue Defects”. Acta Orthopaedica Et Traumatologica Turcica 31, no. 2 (September 2006): 124-28. https://doi.org/10.3944/aott.v31i2.2114.
EndNote Ozcelik D, Boratac U, Kuran I, Bas L (September 1, 2006) A comparison of the free flaps to conventional procedures in terms of the lower extremity tissue defects. Acta Orthopaedica et Traumatologica Turcica 31 2 124–128.
IEEE D. Ozcelik, U. Boratac, I. Kuran, and L. Bas, “A comparison of the free flaps to conventional procedures in terms of the lower extremity tissue defects”, Acta Orthopaedica et Traumatologica Turcica, vol. 31, no. 2, pp. 124–128, 2006, doi: 10.3944/aott.v31i2.2114.
ISNAD Ozcelik, Derya et al. “A Comparison of the Free Flaps to Conventional Procedures in Terms of the Lower Extremity Tissue Defects”. Acta Orthopaedica et Traumatologica Turcica 31/2 (September 2006), 124-128. https://doi.org/10.3944/aott.v31i2.2114.
JAMA Ozcelik D, Boratac U, Kuran I, Bas L. A comparison of the free flaps to conventional procedures in terms of the lower extremity tissue defects. Acta Orthopaedica et Traumatologica Turcica. 2006;31:124–128.
MLA Ozcelik, Derya et al. “A Comparison of the Free Flaps to Conventional Procedures in Terms of the Lower Extremity Tissue Defects”. Acta Orthopaedica Et Traumatologica Turcica, vol. 31, no. 2, 2006, pp. 124-8, doi:10.3944/aott.v31i2.2114.
Vancouver Ozcelik D, Boratac U, Kuran I, Bas L. A comparison of the free flaps to conventional procedures in terms of the lower extremity tissue defects. Acta Orthopaedica et Traumatologica Turcica. 2006;31(2):124-8.