Reconstruction of lateral ankle defects with the distally-based peroneus brevis muscle flap

Öz

Objective:Local tissue options are limited in reconstruction of lateral ankle defects. Distally-based peroneus brevis muscle flap is one of the rare locoregional options used in reconstruction of lateral malleolar defects. In this research article, our experiences with distally based peroneus brevis muscle flap in high-risk patients were presented. Material and Methods: Patients whose defects were reconstructed with a distally-based peroneus brevis muscle flap in the lateral malleolar region between 2018 and 2020 were retrospectively screened and 5 patients were included in the study. Results:The mean age of the patients was 65.8 (50-77). The average size of the defects was 19.6 cm2. No total flap loss were observed in the patients. Partial skin graft loss was observed in in 2 patients that secondary recovery was achieved with conventional wound dressing without additional surgical intervention. No wound dehiscence, discharge or recurrence was observed in the areas where repair was performed during an average of 1.5 years of follow-up. Conclusion: Distally-based peroneus brevis muscle flap is a locoregional flap to cover lateral malleolar region defects that can be used safely in patients with high comorbidities.

Anahtar Kelimeler

• Peroneus brevis muscle flap
• distal base peroneus brevis muscle flap
• lower limb reconstruction
• chronic wound

Ayak Bileği Laterali Defektlerinin Distal Bazlı Peroneus Brevis Kas Flebi ile Onarılması

Öz

Giriş ve Amaç: Ayak bileği laterali defektlerinin onarımında lokal doku seçenekleri oldukça kısıtlıdır. Distal bazlı peroneus brevis kas flebi lateral malleol bölgesinin onarımında kullanılan nadir lokorejyonel seçeneklerden biridir. Bu araştırma makalesinde, yüksek riskli hasta grubunda distal akımlı peroneus brevis kas flebiyle onarım tecrübelerimiz aktarılmıştır. Gereç ve Yöntemler: 2018 ve 2020 yılları arasında Başkent Üniversitesi Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı’nda, lateral malleolar bölgedeki defetleri distal bazlı peroneus brevis kas flebi ile rekonstrükte edilmiş hastalar retrospektif olarak tarandı ve 5 hasta çalışmaya dahil edildi. Bulgular: Hastaların ortalama yaşı 65.8 (50-77) idi. Defektlerin ortalama boyutu 19.6 cm2 idi. Fleplerde kayıp yaşanmadı. 2 hastada kas üzerine konulan deri greftinde kısmi kayıp görüldü , ek cerrahi müdahale olmadan konvansiyonel pansumanla sekonder iyileşme sağlandı. Ortalama 1.5 senelik takip döneminde onarım yapılan alanlarda yara ayrılması, akıntı, nüks görülmedi. Sonuç: Distal bazlı peroneus brevis kas flebi, lateral malleolar bölge defektlerinin kapatılması için yüksek komorbidetesi olan hasta gruplarında bile güvenle kullanılacak bir lokorejyonel fleptir.

Anahtar Kelimeler

• peroneus brevis kas flebi
• distal akımlı peroneus brevis kas flebi
• alt ekstremite rekonstrüksiyonu
• kronik yara

Kaynakça

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