The reconstruction of soft tissue defects in the elbow area: a treatment algorithm proposal

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dc.contributor.authorDuymaz, Ahmet
dc.contributor.authorKarabekmez, Furkan Erol
dc.contributor.authorKeskin, Mustafa
dc.contributor.authorTosun, Zekeriya
dc.contributor.authorSavaci, Nedim
dc.date.accessioned2020-03-26T17:40:48Z
dc.date.available2020-03-26T17:40:48Z
dc.date.issued2009
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBACKGROUND The reconstruction of soft tissue defects of the elbow area (including antecubital fossa and peri-olecranon area) should be performed with the most appropriate soft tissue and functional rehabilitation immediately. METHODS Ten patients were included in this study. One had a brachial artery defect, another had postburn axillary contracture deformity, and a third had an ulnar bone body fracture in addition to their soft tissue defects, while the remaining seven had only soft tissue defect. Patients underwent surgical closure either by local arm fasciocutaneous flap (1), radial forearm flap (1), multiple Z-plasty (1), pedicled latissimus dorsi muscle flap (3), or with the antecubital fasciocutaneous island flap (4). RESULTS The follow-up was 9 months to 4 years (mean: 19 months). All the flaps achieved wound closure without losing the range of motion at the elbow joint. CONCLUSION Surgical closure of the antecubital fossa and peri-olecranon areas can be a challenge for plastic surgeons since this area includes numerous neuro-vascular bundles and a functional joint. Therefore, we describe herein an algorithm for the treatment of defects in these areas from the inspiration in our clinical experience and a literature review. Our algorithm will help to decide the most appropriate choice among all of the surgical options available.en_US
dc.identifier.endpage598en_US
dc.identifier.issn1306-696Xen_US
dc.identifier.issue6en_US
dc.identifier.pmid20037878en_US
dc.identifier.startpage591en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/23963
dc.identifier.volume15en_US
dc.identifier.wosWOS:000271700400013en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.publisherTURKISH ASSOC TRAUMA EMERGENCY SURGERYen_US
dc.relation.ispartofULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectElbow areaen_US
dc.subjecttreatment algorithmen_US
dc.subjectwound closureen_US
dc.subjectsoft tissue defectsen_US
dc.titleThe reconstruction of soft tissue defects in the elbow area: a treatment algorithm proposalen_US
dc.typeArticleen_US

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