Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
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The Value of Local Flaps in Lower Extrimity Reconstruction

하지 재건에 사용된 국소 피판술의 유용성

  • Baek, Jong-Ryoon (Department of Orthopedic Surgery, Gil Hospital, Gachon University) ;
  • Park, Jong-Woong (Department of Orthopedic Surgery, Korea University Medical Center) ;
  • Lee, Beom-Koo (Department of Orthopedic Surgery, Gil Hospital, Gachon University) ;
  • Moon, Do-Hyun (Department of Orthopedic Surgery, Gil Hospital, Gachon University) ;
  • Kim, Young-Kyu (Department of Orthopedic Surgery, Gil Hospital, Gachon University) ;
  • Park, Hong-Ki (Department of Orthopedic Surgery, Gil Hospital, Gachon University) ;
  • Jun, Deuk-Soo (Department of Orthopedic Surgery, Gil Hospital, Gachon University) ;
  • Sim, Jae-Ang (Department of Orthopedic Surgery, Gil Hospital, Gachon University) ;
  • Shin, Won-Ju (Department of Orthopedic Surgery, Gil Hospital, Gachon University) ;
  • Kwon, Boo-Kyung (Department of Orthopedic Surgery, Gil Hospital, Gachon University)
  • 백종륜 (가천의과학대학 길병원 정형외과학교실) ;
  • 박종웅 (고려대학교 의과대학 정형외과학교실) ;
  • 이범구 (가천의과학대학 길병원 정형외과학교실) ;
  • 문도현 (가천의과학대학 길병원 정형외과학교실) ;
  • 김영규 (가천의과학대학 길병원 정형외과학교실) ;
  • 박홍기 (가천의과학대학 길병원 정형외과학교실) ;
  • 전득수 (가천의과학대학 길병원 정형외과학교실) ;
  • 심재앙 (가천의과학대학 길병원 정형외과학교실) ;
  • 신원주 (가천의과학대학 길병원 정형외과학교실) ;
  • 권부경 (가천의과학대학 길병원 정형외과학교실)
  • Published : 2008.11.30
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Abstract

Purpose: The aim of this study was to evaluate the outcome and the effectiveness of local flaps in lower extremity reconstruction. Materials and Methods: We have performed lower extremity reconstruction with local flap in 14 cases (10 males and 4 females) from May 2006 to February 2008. The mean age was 40.1 years (range, 16~67). The defect site was the tibia in 5 cases, the ankle in 1 case and the foot in 8 cases. The local flaps were reverse flow sural artery flap in 7 cases, gastrocnemius flap in 3 cases, lateral supramalleolar flap in 2 cases, dorsalis pedis flap in 1 case and medial hemisoleus flap in 1 case. Results: All flaps were survived. Venous congestion was developed in 1 case of the rerverse flow sural artery flap but healed with secondary rotational flap. Other flaps were good without any complications. Conclusion: If we choose precisely indicated local flap in lower extremity reconstruction, the resultant coverage of defect would be excellent.

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