Archives of Reconstructive Microsurgery
- 제7권1호
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- Pages.28-34
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- 1998
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- 2383-5257(pISSN)
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- 2288-6184(eISSN)
후 골간 혈관경을 이용한 도상피판에 의한 손목 및 수부 연부조직 결손의 수복
Coverage of the Wrist and Hand Soft Tissue Defects with the Posterior Interosseous Forearm Island Flap
- 최수중 (한림대학교 의과대학 정형외과학교실) ;
- 나성주 (한림대학교 의과대학 정형외과학교실) ;
- 장호근 (한림대학교 의과대학 정형외과학교실) ;
- 장준동 (한림대학교 의과대학 정형외과학교실) ;
- 이창주 (한림대학교 의과대학 정형외과학교실)
- Choi, Soo-Joong (Department of Orthopaedic Surgery, College of Medicine, Hallym University) ;
- Na, Seong-Ju (Department of Orthopaedic Surgery, College of Medicine, Hallym University) ;
- Chang, Ho-Geun (Department of Orthopaedic Surgery, College of Medicine, Hallym University) ;
- Chang, Jun-Dong (Department of Orthopaedic Surgery, College of Medicine, Hallym University) ;
- Lee, Chang-Ju (Department of Orthopaedic Surgery, College of Medicine, Hallym University)
- 발행 : 1998.05.30
초록
The traditionally useful coverage methods of the wrist and hand soft tissue defect are the chinese forearm flap, the ulnar forearm flap. But, this flaps are inevitably sacrifice major vessel to the hand. Advantages of the posterior interosseous artery island flap(PIA Flap) is no need to sacrifice blood supply to the hand and supply relatively large thin, good quality flap and more cosmetic than other forearm flaps. But, it is difficult to dissect and raise because of deep seat, close relation with the posterior interosseous nerve and anatomic variation. Authors evaluated 8 cases of 7 patients in the department of orthopaedic surgery, college of medicine, Hallym University from January, 1993 to December, 1995. The results are as follows: 1. The satisfactory coverage was achieved 7 cases and 1 case failed because of anatomic variation. 2 The pedicle length is average 9cm and the flap size is variable from 3cm by 4cm to 5cm by 8cm. 3. The donor site defect was repaired by direct closure in 5 cases, remained 3 cases combined with skin graft. From our experience we conclude that the PIA flap is one of the useful coverage methods of the wrist and hand soft tissue defect.