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Journals / Acta Medica Alanya / 2026 / Cilt: 10 Sayı: 2

Free-Style Perforator Flaps for Acute Reconstruction of Large Soft-Tissue Defects in Patients Presenting to the Emergency Department

Acil Servise Başvuran Hastalarda Geniş Yumuşak Doku Defektlerinin Erken Rekonstrüksiyonunda Serbest Stil Perforatör Fleplerin Kullanımı

İsmail Erkan Aydın(ALANYA ALAADDIN KEYKUBAT UNIVERSITY)0000-0003-3552-5459
Seçkin Aydın Savaş(Private Practice, Plastic and Reconstructive Surgery)0000-0002-9389-2196
Senem Özge Turaçlı Karagüven(Private Practice, Plastic and Reconstructive Surgery)0000-0002-0991-674X
Pages
193–199
Publication Date
2026-08-16
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Freestyle perforator flaps may be considered a fast, versatile, and reliable option for the acute management of large soft-tissue defects requiring emergency reconstruction across different anatomical regions.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: This study aimed to systematically evaluate the efficacy and safety of freestyle perforator flaps in the acute setting and to analyze predictors of postoperative complications.
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Key Findings & Data:Methods: This retrospective study included patients aged 18 years and older who presented to the emergency department of a university hospital between February 1, 2023, and November 30, 2023, with acute traumatic injuries or non-healing wounds.
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Conclusion & Impact:Conclusion: Freestyle perforator flaps may be considered a fast, versatile, and reliable option for the acute management of large soft-tissue defects requiring emergency reconstruction across different anatomical regions.
🔬Design:Araştırma Makalesi
📍Scope:2023 Verileri
⚙️Variables:Akut rekonstrüksiyon · Geniş defekt rekonstrüksiyonu · Serbest stil perforatör flep

Abstract

Aim: This study aimed to systematically evaluate the efficacy and safety of freestyle perforator flaps in the acute setting and to analyze predictors of postoperative complications. Methods: This retrospective study included patients aged 18 years and older who presented to the emergency department of a university hospital between February 1, 2023, and November 30, 2023, with acute traumatic injuries or non-healing wounds. Patients who were identified during initial emergency department evaluation and management as having extensive soft tissue defects and subsequently underwent reconstruction using a freestyle perforator flap were included in the analysis. Results: The study included 20 patients who underwent reconstruction with freestyle perforator flaps. No statistically significant associations were found between age, sex, etiology, or flap size and complication occurrence. There was no significant difference in complication rates between single-perforator and double-perforator flaps. Complications were most common after nasal reconstruction. All cases requiring secondary skin grafting for donor-site closure occurred in patients who underwent lower extremity reconstruction. Conclusion: Freestyle perforator flaps may be considered a fast, versatile, and reliable option for the acute management of large soft-tissue defects requiring emergency reconstruction across different anatomical regions.

Özet

Amaç: Bu çalışma, akut dönemde serbest stil perforatör fleplerin etkinlik ve güvenliğini ve komplikasyon belirleyicilerini sistematik biçimde değerlendirmeyi amaçlamaktadır. Yöntemler: Bu retrospektif çalışmaya, 1 Şubat 2023 ile 30 Kasım 2023 tarihleri arasında bir üniversite hastanesinin acil servisine akut travmatik yaralanmalar veya iyileşmeyen yaralar nedeniyle başvuran, 18 yaş ve üzerindeki hastalar dahil edildi. Acil servisteki ilk değerlendirme ve tedavi sürecinde geniş yumuşak doku defekti saptanan ve rekonstrüksiyon amacıyla serbest stil perforatör flep uygulanan hastalar analiz edildi. Bulgular: Çalışmaya serbest stil perforatör flep ile rekonstrüksiyon yapılan toplam 20 hasta dahil edildi. Yaş, cinsiyet, etyoloji veya flep boyutu ile komplikasyon gelişimi arasında istatistiksel olarak anlamlı bir ilişki saptanmadı. Tek perforatör kullanılan olgular ile iki perforatör kullanılan olgular arasında komplikasyon oranlarında anlamlı bir fark yoktu. Komplikasyonlar en sık nazal rekonstrüksiyonlarda gözlendi. Sekonder greft ile kapatma gerektiren tüm olguların alt ekstremite rekonstrüksiyonları olduğu saptandı. Sonuç: Serbest stil perforatör flepler, farklı anatomik bölgelerde acil rekonstrüksiyon gerektiren geniş yumuşak doku defektlerinin akut yönetiminde hızlı, çok yönlü ve güvenilir bir seçenek olarak değerlendirilebilir.

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Cite This Article

Aydın, İ. E., Savaş, S. A., Karagüven, S. Ö. T. (2026). Free-Style Perforator Flaps for Acute Reconstruction of Large Soft-Tissue Defects in Patients Presenting to the Emergency Department. Acta Medica Alanya, Cilt: 10 Sayı: 2, 193–199. https://doi.org/10.30565/medalanya.1858856

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