000 02811cam a2200349 a 4500
003 EG-GiCUC
005 20250223031629.0
008 161224s2016 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.14.Ph.D.2016.Ib.E
100 0 _aIbrahim Mohamed Ibrahim Elgarya
245 1 0 _aEvaluation of the role of propeller flap in reconstruction of lower third leg and foot defects /
_cIbrahim Mohamed Ibrahim Elgarya ; Supervised Khaled Makeen Elrefaie , Ahmed Mohamed Sobhi , Ahmed Mohamed Kenawy
246 1 5 _aتقييم دور الشريحة المروحية فى إعادة بناء أنسجة الثلث السفلى من الساق والقدم
260 _aCairo :
_bIbrahim Mohamed Ibrahim Elgarya ,
_c2016
300 _a165 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of General Surgery
520 _aBackground Coverage of soft tissue defects over the lower third of the leg still a difficult challenge to reconstructive surgeons. Local propeller flaps based on perforator vessels are a good addition to reconstructive surgery of the limbs. These flaps allow efficient coverage of small to medium wounds without the need to sacrifice a major vessel. No need for microvascular anastomosis and allows to replace like with like, the donor site can be partially or in some cases totally closed by the short limb of the flap. The aim of this study was to evaluate the role of propeller flaps in reconstruction of lower third leg and foot defects, and to propose an algorithm for this reconstruction. Materials and Methods In the current study 30cases of various lower third leg and foot defects were covered by perforator based propeller flaps. Defects were due to Trauma in 21 cases, gunshot injuries in 2 cases, electric burn in 1 case, 4 case of a chronic non healing ulcer and 2 cases with post burn scars. Handheld doppler was used to determine the perforators site. Results 19 cases healed completely with smooth postoperative course. five cases showed total flap necrosis, 2 cases showed marginal necrosis of the flap, and 2 cases showed partial loss of the dermis and 2 cases showed transient venous congestion. In most cases, the aesthetic result was optimal and patients were fully satisfied
530 _aIssued also as CD
653 4 _aFoot defects
653 4 _aLeg defects
653 4 _aLower third
700 0 _aAhmed Mohamed Kenawy ,
_eSupervisor
700 0 _aAhmed Mohamed Sobhi ,
_eSupervisor
700 0 _aKhaled Makeen Elrefaie ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShaima
_eCataloger
942 _2ddc
_cTH
999 _c59130
_d59130