Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
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Tendocutaneous Free Flap Transfer from Dorsum of the Foot

족배부 유리편을 이용한 생건 피부편이식

  • Lee, Kwang-Suk (Department of Orthopedic Surgery, College of Medicine, Korea University) ;
  • Park, Sang-Won (Department of Orthopedic Surgery, College of Medicine, Korea University) ;
  • Byun, Young-Soo (Department of Orthopedic Surgery, College of Medicine, Korea University) ;
  • Kang, Ki-Hoon (Department of Orthopedic Surgery, College of Medicine, Korea University) ;
  • Kang, Oh-Yong (Department of Orthopedic Surgery, College of Medicine, Korea University)
  • 이광석 (고려대학교 의과대학 부속병원 정형외과) ;
  • 박상원 (고려대학교 의과대학 부속병원 정형외과) ;
  • 변영수 (고려대학교 의과대학 부속병원 정형외과) ;
  • 강기훈 (고려대학교 의과대학 부속병원 정형외과) ;
  • 강오용 (고려대학교 의과대학 부속병원 정형외과)
  • Published : 1992.11.20
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Abstract

Tendocutaneous free flap transfer has been usually used to treat troublesome wounds, which had extensive defect of skin and tendons, since Daniel and Taylor had reported successful free flap transfer in 1973. Among the numerous types of free flap, the dorsalis pedis flap, which could include superficial peroneal nerve, extensor tendon and second metatarsus, was widely used as composite free flap. The authors analysed 13 cases of tendocutaneous free flap transfer from dorsum of the foot which were operated at Korea University Hospital from March 1981 to August 1991. The results were as follows: 1. The average size of these flaps was $53.7cm^2$(mazimum $82cm^2$, minimum $30cm^2)$, the average number and length of tendons were 2.9(maximum, 5, minimum 1), and 9.2cm (maximum 17cm, minimum 5cm). 2. The survival rate of flaps was 100%, and functional results by Dargan's criteria were 4 in excellent, 4 good, 3 fair and 2 poor. 3. The delayed healing on donor site could prevented by the meticulous skin graft and repair of extensor retinaculum. 4. The cases of electrical burn were more worse than the traumatic cases in functional results.

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