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Medial Plantar Flep ile Ayak Defektlerinin Onarımı

Year 2011, Volume: 18 Issue: 4, 222 - 227, 01.08.2011

Celalettin Sever Yalçın Külahçı

Abstract

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. Key words: Medial Plantar Flap; Foot Defects.

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Reconstruction of Various Moderate-Size Foot Defects with the Medial Plantar Flap

Year 2011, Volume: 18 Issue: 4, 222 - 227, 01.08.2011

Celalettin Sever Yalçın Külahçı

Abstract

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. Anaktar Sözcükler: Medial Plantar Flep; Ayak Defektleri.

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Details

Primary Language Turkish
Journal Section Articles
Authors

Celalettin Sever This is me

Yalçın Külahçı This is me

Publication Date August 1, 2011
Published in Issue Year 2011 Volume: 18 Issue: 4

Cite

APA Sever, C., & Külahçı, Y. (2011). Reconstruction of Various Moderate-Size Foot Defects with the Medial Plantar Flap. Journal of Turgut Ozal Medical Center, 18(4), 222-227.
AMA Sever C, Külahçı Y. Reconstruction of Various Moderate-Size Foot Defects with the Medial Plantar Flap. J Turgut Ozal Med Cent. August 2011;18(4):222-227.
Chicago Sever, Celalettin, and Yalçın Külahçı. “Reconstruction of Various Moderate-Size Foot Defects With the Medial Plantar Flap”. Journal of Turgut Ozal Medical Center 18, no. 4 (August 2011): 222-27.
EndNote Sever C, Külahçı Y (August 1, 2011) Reconstruction of Various Moderate-Size Foot Defects with the Medial Plantar Flap. Journal of Turgut Ozal Medical Center 18 4 222–227.
IEEE C. Sever and Y. Külahçı, “Reconstruction of Various Moderate-Size Foot Defects with the Medial Plantar Flap”, J Turgut Ozal Med Cent, vol. 18, no. 4, pp. 222–227, 2011.
ISNAD Sever, Celalettin - Külahçı, Yalçın. “Reconstruction of Various Moderate-Size Foot Defects With the Medial Plantar Flap”. Journal of Turgut Ozal Medical Center 18/4 (August 2011), 222-227.
JAMA Sever C, Külahçı Y. Reconstruction of Various Moderate-Size Foot Defects with the Medial Plantar Flap. J Turgut Ozal Med Cent. 2011;18:222–227.
MLA Sever, Celalettin and Yalçın Külahçı. “Reconstruction of Various Moderate-Size Foot Defects With the Medial Plantar Flap”. Journal of Turgut Ozal Medical Center, vol. 18, no. 4, 2011, pp. 222-7.
Vancouver Sever C, Külahçı Y. Reconstruction of Various Moderate-Size Foot Defects with the Medial Plantar Flap. J Turgut Ozal Med Cent. 2011;18(4):222-7.