Adolesanda Diz Çıkığı Nedeniyle Yavaş İlerleyen Popliteal Arter Oklüzyonu Sonrası Flep Nekrozu: Bir Olgu Sunumu

Yıl 2022, Cilt: 9 Sayı: 4, 532 - 535, 30.12.2022

Merve Özkaya Ünsal , Zülfükar Ulaş Bali , Yavuz Tuluy , Aziz Parspancı

https://doi.org/10.34087/cbusbed.1161954

Öz

Popliteal arter oklüzyonu künt diz travması sonrası nadir görülen bir vasküler komplikasyondur ve tanıda geç kalındığında uzuv kaybına neden olabilir. Kollateral damarların gelişmesi, cerrahı defect rekonstrüksiyonu planı yapılırken yanıltabilir. Yüksekten düşme sonrası diz çıkığı sonucu popliteal arter tıkanıklığı olan bir hastayı sunuyoruz. Serbest flep ile rekonstrüksiyondan sonra, ayakta iskemi gözlendi ve arteriyografi ile kollateral arterler ve popliteal arterin oklüzyonunu doğruladı. Hastaya femoro-popliteal bypas ameliyatı yapıldı. Granülasyon oluşmasını takiben çapraz bacak serbest flep ile defekt rekonstrükte edildi.

Anahtar Kelimeler

ALT Flep, flep nekrozu, popliteal arter oklüzyonu.

Flap Necrosis after Slow Progressing Popliteal Artery Occlusion due to Knee Dislocation of an Adolescent: A Case Report

Öz

Abstract
Popliteal artery occlusion is a rare vascular complication after blunt knee trauma and may lead to limb loss if diagnosis is delayed. Development of collateral pathways may misguide the surgeon in planning surgeries for defect reconstruction. We report a case of a patient with popliteal artery occlusion resulting from dislocation of knee after fall from height, which developed a defect anteromedial to ankle following orthopedic surgery. After reconstruction with a free flap, ischemia was observed in foot and arteriography confirmed the occlusion of popliteal artery with well-developed collateral arteries. The patient underwent femoro-popliteal bypass surgery for limb salvation. At the end of the recovery time, the defect was reconstructed with cross leg free flap

Anahtar Kelimeler

ALT Flap, flap necrosis, popliteal artery occlusion.

Kaynakça

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