Anterolateral thigh flap for soft tissue reconstruction of the heel and plantar defects with sensory reinnervation Topuk ve plantar bölge defektlerinde duyusal serbest anterolateral uyluk flebinin kullanımı
Turkiye Klinikleri Journal of Medical Sciences, cilt.40, sa.4, ss.410-417, 2020 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 40 Sayı: 4
- Basım Tarihi: 2020
- Doi Numarası: 10.5336/medsci.2020-76103
- Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Scopus, CAB Abstracts, CINAHL, EMBASE, Veterinary Science Database, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.410-417
- Anahtar Kelimeler: Anterolateral thigh flap, Heel reconstruction, Microsurgery
- Maltepe Üniversitesi Adresli: Evet
Özet
Objective: The limited local soft tissue and the spe-cial characteristics of the heel and plantar region is a challange for the reconstructive surgeons. The reconstruction strategies should provide a skin tissue resistant to weight-bearing and shear forces, enough soft tissue to absorbe, protective sensation, and a proper con-tour. Material and Methods: Eight patients were treated for soft-tissue defects in the heel and plantar areas with free anterolateral thigh flaps. Sensory nerve coaptation was performed in all cases. The follow-up period ranged from 24 to 53 months. The patients’ ages ranged from 16 to 60 years (mean 39 years). Results: All flaps sur-vived. A secondary debulking procedure was performed for 1 flap at postoperative 12th month. Self-resolving minor abrasions were observed in 2 flaps at the end of the first year. Partial weight bearing was allowed at 4th and full weight bearing at the 8th weeks. The time period until full ambulation averaged 3 months. All patients were sensitive to deep pressure, whereas only 5 recognized light touch. Conclusion: The unique characteristics of the anterolateral thigh flap provide optimal results both in the early and late follow-ups when used for this region. The innervated anterolateral thigh flap was pre-ferred in this study due to the advantages achieved earlier than the noninnervated flaps.