Use of propeller flaps for reconstruction of extensor side elbow defects

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dc.authoridAKSOY, Alper/0000-0002-8993-4103
dc.authoridDagdelen, Daghan/0000-0002-2523-9195
dc.authorwosidAKSOY, Alper/D-1289-2017
dc.authorwosidDagdelen, Daghan/JNE-9049-2023
dc.authorwosidDagdelen, Daghan/Y-8418-2018
dc.contributor.authorDagdelen, Daghan
dc.contributor.authorAksoy, Alper
dc.date.accessioned2024-06-12T11:00:09Z
dc.date.available2024-06-12T11:00:09Z
dc.date.issued2020
dc.departmentTrakya Üniversitesien_US
dc.description.abstractIntroduction: Extensor side elbow defects are difficult to repair among upper extremity injuries. The bulk of surrounding soft tissue is limited and often affected by the trauma, although seems to be ideal, propeller flaps are not being widely adopted for upper extremity soft-tissue reconstructions. In the present study, we set out to share the results of the perforator propeller flaps that are based on either the arm or the forearm, which we thought the perforator vessel anatomy is relatively constant. Patients and Methods: All patients who underwent elbow defect repair between June 2016 and June 2018 were evaluated retrospectively. Patients were evaluated in terms of the etiology and demographic parameters. Flaps were assessed by the artery system, on which they were based on the dimensions of skin island, the rotation angle of the skin paddle, and closure method of the donor site. Outcomes were noted during bimonthly follow-up visits. Results: In 11 patients, the dominant etiology was chronic bursitis. The mean flap skin paddle size was 48.8 +/- 16.9 cm2. For defect repair, radial collateral artery (RCA) perforator flaps were used in six patients. Posterior interosseous artery (PIA) perforator flaps were used in remaining five patients. All the flaps were based on a single perforator artery. The mean rotation degree was measured as 165 degrees +/- 11.6 degrees. In nine cases, the flap donor site was closed primarily, whereas split-thickness skin grafts were used in two cases. The average follow-up period was 13 +/- 5 months. No limitation in the range of motion of the elbow joint was noted. Distal marginal necrosis was observed in two flaps. Conclusion: We advocate that both PIA and RCA perforator flaps are very useful options for soft-tissue reconstruction of extensor side elbow defects.en_US
dc.identifier.doi10.4103/tjps.tjps_63_19
dc.identifier.endpage170en_US
dc.identifier.issn1300-6878
dc.identifier.issn2528-8644
dc.identifier.issue3en_US
dc.identifier.startpage166en_US
dc.identifier.urihttps://doi.org/10.4103/tjps.tjps_63_19
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20718
dc.identifier.volume28en_US
dc.identifier.wosWOS:000538045300007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofTurkish Journal Of Plastic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectElbow Jointen_US
dc.subjectPerforator Flapen_US
dc.subjectSurgical Flapsen_US
dc.subjectLateral Arm Flapen_US
dc.subjectPosterior Interosseous Flapen_US
dc.subjectCoverageen_US
dc.subjectAnatomyen_US
dc.titleUse of propeller flaps for reconstruction of extensor side elbow defectsen_US
dc.typeArticleen_US

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