Can indications for lower limb replantation and revascularization be expanded with simultaneous free-flap transfer for limb salvage?

dc.authorid0000-0001-8142-8794en_US
dc.contributor.authorAköz, Tayfun
dc.contributor.authorYıldırım, Serkan
dc.contributor.authorAkan, Mithat
dc.contributor.authorGideroğlu, Kaan
dc.contributor.authorAvcı, Gülden
dc.contributor.authorÇakır, Barış
dc.date.accessioned2024-07-12T21:04:51Z
dc.date.available2024-07-12T21:04:51Z
dc.date.issued2004en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractHigh-energy trauma from road accidents and work-related injuries is the most common cause of lower-limb traumatic amputations. Many of these cases require extensive debridement and substantial bone shortening for primary closure because of crushing and/or avulsion of the involved parts. Since 1998, the authors have replanted or revascularized five lower limbs in five patients. Free tissue transfers have been used to cover soft-tissue defects during replantation and revascularization in all patients. The numbers and kinds of free flaps include one latissimus dorsi muscle, two transverse rectus abdominis musculocutaneous (TRAM), and two anterolateral thigh fasciocutaneous flaps. Survival of the replanted and revascularized limbs and transferred flaps was obtained in four patients. Below-knee amputation was performed because of flap necrosis and extensive infection in one patient. Simultaneous free-tissue transfers may be used simultaneously with lower limb replantation or revascularization to obtain functional extremities in appropriately selected patients. The indications for lower limb salvage may be enhanced and successful results may be obtained in one stage, with low complication rates and shorter hospital stays. The authors report their experience with simultaneous free tissue transfers and lower limb replantation or revascularization.en_US
dc.identifier.citationAköz, T., Yıldırım, S., Akan, M., Gideroğlu, K., Avcı, G. ve Çakır, B. Can indications for lower limb replantation and revascularization be expanded with simultaneous free-flap transfer for limb salvage. Journal of Reconstructive Microsurgery. 20(8), s. 621-629.en_US
dc.identifier.endpage629en_US
dc.identifier.issue8en_US
dc.identifier.startpage621en_US
dc.identifier.urihttps://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-2004-861522
dc.identifier.urihttps://hdl.handle.net/20.500.12415/3845
dc.identifier.volume20en_US
dc.institutionauthorAköz, Tayfun
dc.language.isoenen_US
dc.publisherThiemeen_US
dc.relation.ispartofJournal of Reconstructive Microsurgeryen_US
dc.relation.isversionof10.1055/s-2004-861522en_US
dc.relation.publicationcategoryUluslararası Hakemli Dergide Makale - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY02031
dc.subjectLower limb salvageen_US
dc.subjectFree tissue transferen_US
dc.subjectReplantationen_US
dc.subjectRevascularizationen_US
dc.titleCan indications for lower limb replantation and revascularization be expanded with simultaneous free-flap transfer for limb salvage?en_US
dc.typeArticle
dspace.entity.typePublication

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