Reconstruction of Soft Tissue Defect on Distal Leg with Extensor Digitorum Brevis Myo-Cutaneous Flap

단지신근 근피판을 이용한 하지 원위부 연부조직 결손의 재건

  • Lee, Sang Yun (Department of Plastic & Reconstructive Surgery, Kyungpook National University School of Medicine) ;
  • Chung, Ho Yun (Department of Plastic & Reconstructive Surgery, Kyungpook National University School of Medicine) ;
  • Kim, Jong Yeop (Department of Plastic & Reconstructive Surgery, Kyungpook National University School of Medicine) ;
  • Yang, Jung Duk (Department of Plastic & Reconstructive Surgery, Kyungpook National University School of Medicine) ;
  • Park, Jae Woo (Department of Plastic & Reconstructive Surgery, Kyungpook National University School of Medicine) ;
  • Cho, Byung Chae (Department of Plastic & Reconstructive Surgery, Kyungpook National University School of Medicine)
  • 이상윤 (경북대학교 의과대학 성형외과학교실) ;
  • 정호윤 (경북대학교 의과대학 성형외과학교실) ;
  • 김종엽 (경북대학교 의과대학 성형외과학교실) ;
  • 양정덕 (경북대학교 의과대학 성형외과학교실) ;
  • 박재우 (경북대학교 의과대학 성형외과학교실) ;
  • 조병채 (경북대학교 의과대학 성형외과학교실)
  • Received : 2006.03.16
  • Published : 2006.07.10

Abstract

Purpose: To report of a series of successful reconstruction of soft tissue defect on distal leg with extensor digitorum brevis myo-cutaneous flap. Methods: Between April 2002 to December 2004, 7 patients with soft tissue defect on distal leg were operated with Extensor Digiotorum Brevis myocutaneous flap. 6 of these patients had osteomyelitis. Results: Extensor Digiotorum Brevis myocutaneous flap were used in 6 patients and reverse flow flap was used in one patient. Average follow up was 19 months. All flap were survived 100% without any complication and osteomyelitis were controled in all cases. Aesthetic and functional out come were excellent on both recipient and donor sites. Conclusion: The advantages of this flap are effectively control of local wound infection, constant and reliable anatomical structures, adequately thin flap. Technical easiness for raising flap and wide arch of rotation. Extensor Digitorum Brevis myo-cutaneous flap is one of ideal option for the reconstruction of distal leg and foot defects.

Keywords

References

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