Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
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Functioning Gracilis Musculocutaneous Free Flap Transplantation for the Reconstruction of Hand Function

수부기능의 재건을 위한 기능성 유리 박근 근피판 이식

  • Lee, Kwang Seok (Department of Orthopedic Surgery, College of Medicine, Korea University, Anam Hospital) ;
  • Han, Seung Beom (Department of Orthopedic Surgery, College of Medicine, Korea University, Anam Hospital) ;
  • Hwang, In Cheol (Department of Orthopedic Surgery, College of Medicine, Korea University, Anam Hospital) ;
  • Suh, Dong Won (Department of Orthopedic Surgery, College of Medicine, Korea University, Anam Hospital)
  • 이광석 (고려대학교 의과대학 정형외과학교실) ;
  • 한승범 (고려대학교 의과대학 정형외과학교실) ;
  • 황인철 (고려대학교 의과대학 정형외과학교실) ;
  • 서동원 (고려대학교 의과대학 정형외과학교실)
  • Published : 2000.10.31
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Abstract

Purpose : We performed this study in order to analyze the clinical results of functioning gracilis musculocutaneous free flap transplantation for reconstructon of hand function in cases of Volkmann's ischemic contracture and massive soft tissue injury of forearm. Materials and methods : 18 cases were reviewed with 5 yeas of mean follow up period. We evaluated total active motion of the finger joints and wrist, pinch and grip strength. Results : The flap were survived in 17 cases and 1 case was failed due to infection. The sum of active motion of finger joints(TAM) was improved from 0 to $173.8^{\circ}$. The average grip and pinch strength was improved from 0 kg to $2.7{\pm}2.1kg$ and from 0 kg to $2.4{\pm}1.6kg$. Conclusion : The results in most cases were acceptable in relatively long term follow-up. It may be an option for reconstruction of hand function in cases of Volkmann's ischemic contracture and traumatic upper extremity injury.

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