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

Year 2019, Volume: 2 Issue: 2, 90 - 96, 31.08.2019

Abstract

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.

References

  • Patel KM, Higgins JP. Posterior elbow wounds: soft tissue coverage options and techniques. The Orthopedic clinics of North America. 2013;44(3):409-417.
  • Song R, Song Y, Yu Y, Song Y. The upper arm free flap. Clinics in plastic surgery. 1982;9(1):27-35.
  • Katsaros J, Schusterman M, Beppu M, Banis JC, Jr., Acland RD. The lateral upper arm flap: anatomy and clinical applications. Annals of plastic surgery. 1984;12(6):489-500.
  • Marques Faria JC, Rodrigues ML, Scopel GP, Kowalski LP, Ferreira MC. The versatility of the free lateral arm flap in head and neck soft tissue reconstruction: clinical experience of 210 cases. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2008;61(2):172-179.
  • Ulusal BG, Lin YT, Ulusal AE, Lin CH, Yen JT. Reconstruction of foot defects with free lateral arm fasciocutaneous flaps: analysis of fifty patients. Microsurgery. 2005;25(8):581-588.
  • Akinci M, Ay S, Kamiloglu S, Ercetin O. Lateral arm free flaps in the defects of the upper extremity--a review of 72 cases. Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand. 2005;10(2-3):177-185.
  • Atzei A, Pignatti M, Udali G, Cugola L, Maranzano M. The distal lateral arm flap for resurfacing of extensive defects of the digits. Microsurgery. 2007;27(1):8-16.
  • Ulusal BG, Lin YT, Ulusal AE, Lin CH. Free lateral arm flap for 1-stage reconstruction of soft tissue and composite defects of the hand: A retrospective analysis of 118 cases. Annals of plastic surgery. 2007;58(2):173-178.
  • Culbertson JH, Mutimer K. The reverse lateral upper arm flap for elbow coverage. Annals of plastic surgery. 1987;18(1):62-68.
  • Lazarou SA, Kaplan IB. The lateral arm flap for elbow coverage. Plastic and reconstructive surgery. 1993;91(7):1349-1354.
  • Jordan SW, Wayne JD, Dumanian GA. The pedicled lateral arm flap for oncologic reconstruction near the shoulder. Annals of plastic surgery. 2015;74(1):30-33.
  • Kalbermatten DF, Wettstein R, vonKanel O, et al. Sensate lateral arm flap for defects of the lower leg. Annals of plastic surgery. 2008;61(1):40-46.
  • Vico PG, Coessens BC. The distally based lateral arm flap for intraoral soft tissue reconstruction. Head & neck. 1997;19(1):33-36.
  • Graham B, Adkins P, Scheker LR. Complications and morbidity of the donor and recipient sites in 123 lateral arm flaps. Journal of hand surgery (Edinburgh, Scotland). 1992;17(2):189-192.
  • Lai CS, Tsai CC, Liao KB, Lin SD. The reverse lateral arm adipofascial flap for elbow coverage. Annals of plastic surgery. 1997;39(2):196-200.
  • Katsaros J, Tan E, Zoltie N, Barton M, Venugopalsrinivasan, Venkataramakrishnan. Further experience with the lateral arm free flap. Plastic and reconstructive surgery. 1991;87(5):902-910.
  • Katsaros J, Tan E, Zoltie N. The use of the lateral arm flap in upper limb surgery. The Journal of hand surgery. 1991;16(4):598-604.
  • Arnez ZM, Kersnic M, Smith RW, Godina M. Free lateral arm osteocutaneous neurosensory flap for thumb reconstruction. Journal of hand surgery (Edinburgh, Scotland). 1991;16(4):395-399.
  • Chen HC, el-Gammal TA. The lateral arm fascial free flap for resurfacing of the hand and fingers. Plastic and reconstructive surgery. 1997;99(2):454-459.
  • Hennerbichler A, Etzer C, Gruber S, Brenner E, Papp C, Gaber O. Lateral arm flap: analysis of its anatomy and modification using a vascularized fragment of the distal humerus. Clinical anatomy (New York, NY). 2003;16(3):204-214.
  • Nakanishi A, Kawamura K, Omokawa S, et al. Reverse vascularized bone graft of the lateral distal humerus for non-union of the radial neck fracture: anatomical study and case report. Journal of plastic surgery and hand surgery. 2019;53(1):20-24.
  • Barrera-Ochoa SS, Soldado F, Rodriguez-Baeza A, et al. Vascularized humeral periosteal flap to treat lateral humeral condyle nonunion: An anatomical study and report of two successfully-treated pediatric cases. Microsurgery. 2019;39(2):156-159.
  • Murakami M, Ono S, Ishii N, Hyakusoku H. Reconstruction of elbow region defects using radial collateral artery perforator (RCAP)-based propeller flaps. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2012;65(10):1418-1421.
  • Brunetti B, Tenna S, Segreto F, Del Buono R, Persichetti P. Lateral arm reconstruction with posterior radial collateral artery perforator based flap. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2013;66(6):875-876.
  • Morrison CS, Sullivan SR, Bhatt RA, Chang JT, Taylor HO. The pedicled reverse-flow lateral arm flap for coverage of complex traumatic elbow injuries. Annals of plastic surgery. 2013;71(1):37-39.
  • Ng SW, Teoh LC, Lee YL, Seah WT. Contralateral pedicled lateral arm flap for hand reconstruction. Annals of plastic surgery. 2010;64(2):159-163.

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

Year 2019, Volume: 2 Issue: 2, 90 - 96, 31.08.2019

Abstract

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.

References

  • Patel KM, Higgins JP. Posterior elbow wounds: soft tissue coverage options and techniques. The Orthopedic clinics of North America. 2013;44(3):409-417.
  • Song R, Song Y, Yu Y, Song Y. The upper arm free flap. Clinics in plastic surgery. 1982;9(1):27-35.
  • Katsaros J, Schusterman M, Beppu M, Banis JC, Jr., Acland RD. The lateral upper arm flap: anatomy and clinical applications. Annals of plastic surgery. 1984;12(6):489-500.
  • Marques Faria JC, Rodrigues ML, Scopel GP, Kowalski LP, Ferreira MC. The versatility of the free lateral arm flap in head and neck soft tissue reconstruction: clinical experience of 210 cases. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2008;61(2):172-179.
  • Ulusal BG, Lin YT, Ulusal AE, Lin CH, Yen JT. Reconstruction of foot defects with free lateral arm fasciocutaneous flaps: analysis of fifty patients. Microsurgery. 2005;25(8):581-588.
  • Akinci M, Ay S, Kamiloglu S, Ercetin O. Lateral arm free flaps in the defects of the upper extremity--a review of 72 cases. Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand. 2005;10(2-3):177-185.
  • Atzei A, Pignatti M, Udali G, Cugola L, Maranzano M. The distal lateral arm flap for resurfacing of extensive defects of the digits. Microsurgery. 2007;27(1):8-16.
  • Ulusal BG, Lin YT, Ulusal AE, Lin CH. Free lateral arm flap for 1-stage reconstruction of soft tissue and composite defects of the hand: A retrospective analysis of 118 cases. Annals of plastic surgery. 2007;58(2):173-178.
  • Culbertson JH, Mutimer K. The reverse lateral upper arm flap for elbow coverage. Annals of plastic surgery. 1987;18(1):62-68.
  • Lazarou SA, Kaplan IB. The lateral arm flap for elbow coverage. Plastic and reconstructive surgery. 1993;91(7):1349-1354.
  • Jordan SW, Wayne JD, Dumanian GA. The pedicled lateral arm flap for oncologic reconstruction near the shoulder. Annals of plastic surgery. 2015;74(1):30-33.
  • Kalbermatten DF, Wettstein R, vonKanel O, et al. Sensate lateral arm flap for defects of the lower leg. Annals of plastic surgery. 2008;61(1):40-46.
  • Vico PG, Coessens BC. The distally based lateral arm flap for intraoral soft tissue reconstruction. Head & neck. 1997;19(1):33-36.
  • Graham B, Adkins P, Scheker LR. Complications and morbidity of the donor and recipient sites in 123 lateral arm flaps. Journal of hand surgery (Edinburgh, Scotland). 1992;17(2):189-192.
  • Lai CS, Tsai CC, Liao KB, Lin SD. The reverse lateral arm adipofascial flap for elbow coverage. Annals of plastic surgery. 1997;39(2):196-200.
  • Katsaros J, Tan E, Zoltie N, Barton M, Venugopalsrinivasan, Venkataramakrishnan. Further experience with the lateral arm free flap. Plastic and reconstructive surgery. 1991;87(5):902-910.
  • Katsaros J, Tan E, Zoltie N. The use of the lateral arm flap in upper limb surgery. The Journal of hand surgery. 1991;16(4):598-604.
  • Arnez ZM, Kersnic M, Smith RW, Godina M. Free lateral arm osteocutaneous neurosensory flap for thumb reconstruction. Journal of hand surgery (Edinburgh, Scotland). 1991;16(4):395-399.
  • Chen HC, el-Gammal TA. The lateral arm fascial free flap for resurfacing of the hand and fingers. Plastic and reconstructive surgery. 1997;99(2):454-459.
  • Hennerbichler A, Etzer C, Gruber S, Brenner E, Papp C, Gaber O. Lateral arm flap: analysis of its anatomy and modification using a vascularized fragment of the distal humerus. Clinical anatomy (New York, NY). 2003;16(3):204-214.
  • Nakanishi A, Kawamura K, Omokawa S, et al. Reverse vascularized bone graft of the lateral distal humerus for non-union of the radial neck fracture: anatomical study and case report. Journal of plastic surgery and hand surgery. 2019;53(1):20-24.
  • Barrera-Ochoa SS, Soldado F, Rodriguez-Baeza A, et al. Vascularized humeral periosteal flap to treat lateral humeral condyle nonunion: An anatomical study and report of two successfully-treated pediatric cases. Microsurgery. 2019;39(2):156-159.
  • Murakami M, Ono S, Ishii N, Hyakusoku H. Reconstruction of elbow region defects using radial collateral artery perforator (RCAP)-based propeller flaps. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2012;65(10):1418-1421.
  • Brunetti B, Tenna S, Segreto F, Del Buono R, Persichetti P. Lateral arm reconstruction with posterior radial collateral artery perforator based flap. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2013;66(6):875-876.
  • Morrison CS, Sullivan SR, Bhatt RA, Chang JT, Taylor HO. The pedicled reverse-flow lateral arm flap for coverage of complex traumatic elbow injuries. Annals of plastic surgery. 2013;71(1):37-39.
  • Ng SW, Teoh LC, Lee YL, Seah WT. Contralateral pedicled lateral arm flap for hand reconstruction. Annals of plastic surgery. 2010;64(2):159-163.
There are 26 citations in total.

Details

Primary Language Turkish
Journal Section Reviews
Authors

Omer Kokacya

Publication Date August 31, 2019
Acceptance Date August 8, 2019
Published in Issue Year 2019 Volume: 2 Issue: 2

Cite

APA Kokacya, O. (2019). Posterior dirsek bölgesi yumuşak doku defektlerinin onarımında posterior radial kollateral arter bazlı flep (lateral kol flebi) modifikasyonları. Journal of Cukurova Anesthesia and Surgical Sciences, 2(2), 90-96.

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