Posterior dirsek bölgesi yumuşak doku defektlerinin onarımında posterior radial kollateral arter bazlı flep (lateral kol flebi) modifikasyonları

Yıl 2019, Cilt: 2 Sayı: 2, 90 - 96, 31.08.2019

Omer Kokacya

Öz

Giriş: Posterior dirsek bölgesinin yumuşak doku defektlerinin
onarımında bir çok flep kullanılmaktadır. Posterior kollateral radial arter
bazlı lateral kol flebi en sık kullanılan fleplerden bir tanesidir.

Amaç: Bu çalışmada posterior dirsek bölgesi yumuşak doku
defektlerinin onarımında kullanılan lateral kol flebinin modifikasyonlarının
gözden geçirilmesi amaçlanmıştır.

Gereç ve
Yöntem: Pubmed’de anahtar kelimeler
tarandı. Posterior dirsek bölgesi defektlerinin onarımında kullanılmış olan
posterior radial kollateral arter bazlı fleplerin tasarımları incelenerek
tanımlanan flep modifikasyonları ortaya koyuldu.

Tartışma: İlk olarak 1982’de serbest flep olarak kullanılan lateral
kol flebi daha sonra pediküllü olarak kullanılmaya başlanmıştır ve pediküllü
flebin bir çok modifikasyonu tarif edilmiştir. Flep ters akımlı veya düz akımlı
kullanılabilir. Geniş defekler için genişletilmiş (extended) tasarlanabildiği
gibi defektin onarımındaki ihtiyaca göre fasiykutanöz,  adipofasiyal veya osteokutanöz
hazırlanabilir. Posterior radial kollateral arter perrforatör fleplerinin donör
alan morbiditesi azdır ve perforatör flepler 
propellar veya V-Y ilerletme flebi şeklinde kullanılabilir.

Sonuç: Lateral kol flebi,  posterior dirsek bölgesi yumuşak doku
defektlerinin onarımı için kullanılabilecek birçok modifikasyonu olan çok kullanışlı
ve güvenilir fleptir.

Anahtar Kelimeler

dirsek, lateral kol flebi, posterior radial kollateral arter

Posterior radial collateral artery based flap (lateral arm flap) modifications for repairing the soft tissue defects of the posterior elbow region

Öz

Introduction: Several flaps are used for repairing the soft tissue
defects of the posterior elbow region. Posterior collateral artery based
lateral arm flap is one of the most frequently used flaps.

Aim: Is to review modifications of lateral arm flap for
repairing the soft tissue defects of the posterior elbow region..

Material and
Method:  Keywords are searched at Pubmed. By analysing
designs of the posterior radial collateral artery based flaps that were used
for posterior elbow soft tissue defects, flap modifications are pointed out.

Results: Lateral arm flap ,which is initially used as free flap at
1982, subsequently used as pediculled flap and several modification of
pediculled flap are described. It can be used as distally based (reverse) or
proximally based. For covering large defects, extended flap can be designed.
According to absent tissue to reconstruct, it can be used as fasiocutaneous,
adipofascial or osteocuteneous flap. Donor site morbidity of posterior radial
collateral artery perforator flap is inconsiderable and perforator flaps can be
used as propellar or V-Y advancement flaps.

Conclusion: For repairing soft tissue defects os posterior elbow
region. lateral arm flap is a reliable and versatile flap that has several
modifications.

Anahtar Kelimeler

elbow, lateral arm flap, posterior radial kollateral arter

Kaynakça

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