Archives of Plastic Surgery

  • 제39권4호
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  • Pages.360-366
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  • 2012
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Reconstruction of Pretibial Defect Using Pedicled Perforator Flaps

  • Shin, In Soo (Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Lee, Dong Won (Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Rah, Dong Kyun (Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Lee, Won Jai (Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine)
  • 투고 : 2012.04.30
  • 심사 : 2012.06.12
  • 발행 : 2012.07.15
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초록

Background Coverage of defects of the pretibial area remains a challenge for surgeons. The difficulty comes from the limited mobility and availability of the overlying skin and soft tissue. We applied variable pedicled perforator flaps to overcome the disadvantages of local flaps and free flaps on the pretibial area. Methods Eight patients who had the defects in the anterior tibial area were enrolled. Retrospective data were obtained on patient demographics, cause, defect location, defect size, flap dimension, originating artery, pedicle length, pedicle rotation, complication, and postoperative result. The raw surface created following the flap elevation was covered with a split thickness skin graft. Results Posterior tibial artery-based perforator flaps were used in five cases and peroneal artery-based perforator flaps in three cases. The mean age was 54.3 and the mean period of follow-up was 6 months. The average size of the flaps was 63.8 $cm^2$, with a range of 18 to 135 $cm^2$. There were no major complications. No patients had any newly developed functional deficit of the lower leg. Conclusions We suggest that pedicled perforator flaps can be an alternative treatment modality for covering pretibial defects as a simple, safe and versatile procedure.

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참고문헌

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피인용 문헌

  1. Soft Tissue Coverage of the Lower Extremity vol.27, pp.4, 2012, https://doi.org/10.1097/bto.0b013e318278e0c7
  2. Perineal Perforator–Based Island Flaps: The Next Frontier in Perineal Reconstruction vol.133, pp.5, 2014, https://doi.org/10.1097/prs.0000000000000146
  3. Perforator Flap versus Conventional Flap vol.30, pp.5, 2012, https://doi.org/10.3346/jkms.2015.30.5.514
  4. A Systematic Review and Meta-Analysis of Perforator-Pedicled Propeller Flaps in Lower Extremity Defects: Identification of Risk Factors for Complications vol.137, pp.1, 2012, https://doi.org/10.1097/prs.0000000000001891
  5. Keystone-Designed Perforator Island Flaps for the Coverage of Traumatic Pretibial Defects in Patients With Comorbidities vol.16, pp.4, 2012, https://doi.org/10.1177/1534734617740971
  6. Pedicled Peroneal Artery Perforator Flap for Knee Defect Reconstruction: Case Presentation and Literature Discussion vol.6, pp.11, 2018, https://doi.org/10.1097/gox.0000000000002034
  7. Pedicled perforator flaps for mid-tibial soft tissue reconstruction in medically compromised patients vol.24, pp.None, 2012, https://doi.org/10.1016/j.jpra.2020.02.002
  8. Keystone design perforator island flaps for coverage of non-oncological periarticular defects surrounded by the zone of injury vol.48, pp.6, 2012, https://doi.org/10.1177/0300060520930152
  9. The Effect of Perforator Skeletonization on Pedicled Fasciocutaneous Flaps of the Lower Extremity: A Systematic Review vol.36, pp.9, 2020, https://doi.org/10.1055/s-0040-1713598
  10. Reconstruction of Pretibial Defect Using Bone-Anchored Advancement Flap vol.17, pp.1, 2012, https://doi.org/10.22467/jwmr.2021.01403
  11. Keystone Flap with Omega Variation and Sydney Melanoma Unit Modification to Cover Small- and Moderate-Sized Defects in the Anterior Lower Leg vol.17, pp.2, 2012, https://doi.org/10.22467/jwmr.2020.01452