광 배 근피 유리 판을 이용한 슬관절 구제 재건술

Salvage Reconstruction of the Knee using Latissimus Dorsi Myocutaneous Free Flap

  • 이준모 (전북대학교병원 정형외과, 전북대학교 임상의학연구소) ;
  • 이주홍 (전북대학교병원 정형외과, 전북대학교 임상의학연구소) ;
  • 최문기 (전북대학교병원 정형외과, 전북대학교 임상의학연구소)
  • Lee, Jun-Mo (Department of Orthopedic Surgery, Chonbuk National University Hospital and Research Institute of Clinical Medicine, Chonbuk National University) ;
  • Lee, Ju-Hong (Department of Orthopedic Surgery, Chonbuk National University Hospital and Research Institute of Clinical Medicine, Chonbuk National University) ;
  • Choi, Moon-Ki (Department of Orthopedic Surgery, Chonbuk National University Hospital and Research Institute of Clinical Medicine, Chonbuk National University)
  • 발행 : 2002.10.31

초록

The only treatment method for crushed soft tissue injuries in the proximal leg involving the knee joint is the microsurgical free flap transplantation, especially latissimus dorsi myocutaneous free flap is useful to cover the extensive soft tissue defects, therefore prevents iatrogenic below knee amputation and facilitates early wound healing, early ambulation and shortens hospital stay. Authors have treated the open amputation with crushed soft tissue and bone injuries in the proximal leg, and the repeated abrasion and infectious wound with traumatic neuroma in the below knee with myocutaneous free flap and succeeded to wear below knee amputation prosthesis and return to normal activities of the daily living in the relatively shorter period than usual.

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