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Case Report
Online Published: 14 Oct 2020
 


Oblique Paraumbilical Perforator (OPUP) Flap: A Reliable Reconstructive Option in Massive Soft Tissue Defect of the Elbow

Alper Ural, Fatma Bilgen, Mehmet Bekerecioğlu.


Abstract
ABSTRACT
Objectives: The upper extremity is an important functional unit and is frequently exposed to trauma. Large soft tissue defects in the upper extremities require reconstruction with reliable tissues with maximum functional and aesthetic results.We aimed to present a reconstruction a massive soft tissue defect of elbow with oblique paraumbilical perforator flap in a multitrauma patient.
Methods: A 26 year-old female patient was admitted as a result of an in-vehicle traffic accident. The patient had cerebral contusion, lung contusion, humerus fracture, tibia fracture, large dermal abrasions in the trunk,extensive tissue defect including scalp, wrist, elbow and proximal forearm. After reduction of fractures,ulnar nerve was reconstructed with sural nerve graft. 22 x 17 cm sized massive soft tissue defect of the elbow was.
Results: Based on two deep inferior epigastric artery perforators the OPUP flap was raised in suprafascial fashion. The flap was divided on the 22nd day. No complications observed postoperatively.
Conclusion:The OPUP flap is a versatile and reliable flap; hence it can be used as a salvage option for massive upper extremity defects around the elbow especially when other reconstructive methods are not possible.
Keywords: elbow; perforator flap; upper extremity

Key words: Keywords: elbow; perforator flap; reconstruction; upper extremity


 
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How to Cite this Article
Pubmed Style

Ural A, Bilgen F, Bekerecioğlu M, . Oblique Paraumbilical Perforator (OPUP) Flap: A Reliable Reconstructive Option in Massive Soft Tissue Defect of the Elbow. Hand Microsurg. 2020; 9(3): 171-176. doi:10.5455/handmicrosurg.76281

Web Style

Ural A, Bilgen F, Bekerecioğlu M, . Oblique Paraumbilical Perforator (OPUP) Flap: A Reliable Reconstructive Option in Massive Soft Tissue Defect of the Elbow. https://handmicrosurgeryjournal.com/?mno=76281 [Access: September 12, 2024]. doi:10.5455/handmicrosurg.76281

AMA (American Medical Association) Style

Ural A, Bilgen F, Bekerecioğlu M, . Oblique Paraumbilical Perforator (OPUP) Flap: A Reliable Reconstructive Option in Massive Soft Tissue Defect of the Elbow. Hand Microsurg. 2020; 9(3): 171-176. doi:10.5455/handmicrosurg.76281


Vancouver/ICMJE Style

Ural A, Bilgen F, Bekerecioğlu M, . Oblique Paraumbilical Perforator (OPUP) Flap: A Reliable Reconstructive Option in Massive Soft Tissue Defect of the Elbow. Hand Microsurg. (2020), [cited September 12, 2024]; 9(3): 171-176. doi:10.5455/handmicrosurg.76281


Harvard Style

Ural, A., Bilgen, F., Bekerecioğlu, M. & (2020) Oblique Paraumbilical Perforator (OPUP) Flap: A Reliable Reconstructive Option in Massive Soft Tissue Defect of the Elbow. Hand Microsurg, 9 (3), 171-176. doi:10.5455/handmicrosurg.76281


Turabian Style

Ural, Alper, Fatma Bilgen, Mehmet Bekerecioğlu, and . 2020. Oblique Paraumbilical Perforator (OPUP) Flap: A Reliable Reconstructive Option in Massive Soft Tissue Defect of the Elbow. Hand and Microsurgery, 9 (3), 171-176. doi:10.5455/handmicrosurg.76281


Chicago Style

Ural, Alper, Fatma Bilgen, Mehmet Bekerecioğlu, and . " Oblique Paraumbilical Perforator (OPUP) Flap: A Reliable Reconstructive Option in Massive Soft Tissue Defect of the Elbow." Hand and Microsurgery 9 (2020), 171-176. doi:10.5455/handmicrosurg.76281


MLA (The Modern Language Association) Style

Ural, Alper, Fatma Bilgen, Mehmet Bekerecioğlu, and . " Oblique Paraumbilical Perforator (OPUP) Flap: A Reliable Reconstructive Option in Massive Soft Tissue Defect of the Elbow." Hand and Microsurgery 9.3 (2020), 171-176. Print. doi:10.5455/handmicrosurg.76281


APA (American Psychological Association) Style

Ural, A., Bilgen, F., Bekerecioğlu, M. & (2020) Oblique Paraumbilical Perforator (OPUP) Flap: A Reliable Reconstructive Option in Massive Soft Tissue Defect of the Elbow. Hand and Microsurgery, 9 (3), 171-176. doi:10.5455/handmicrosurg.76281




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    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



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