Archives of Reconstructive Microsurgery
- Volume 2 Issue 1
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- Pages.46-52
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- 1993
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- 2383-5257(pISSN)
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- 2288-6184(eISSN)
Clinical Application of Instep Flap
내측 족저 동맥을 이용한 도피판술의 임상적 고찰
- Chung, Duke-Whan (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
- Han, Chung-Soo (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
- Kim, Yong-Hwan (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
- Nam, Gi-Un (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
- Kim, Jin-Won (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University)
- 정덕환 (경희대학교 의과대학 정형외과학교실) ;
- 한정수 (경희대학교 의과대학 정형외과학교실) ;
- 김용환 (경희대학교 의과대학 정형외과학교실) ;
- 남기운 (경희대학교 의과대학 정형외과학교실) ;
- 김진원 (경희대학교 의과대학 정형외과학교실)
- Published : 1993.11.28
Abstract
Soft-tissue deficits over the plantar forefoot, plantar heel, Achilles tendon, and distal parts of lower leg are often troublesome to cover with a simple graft or local flap due to limited mobility of surrounding skin and poor circulation in these area. Soft-tissue reconstruction in these regions should provide tissue components similar to the original lost tissue, supply durability and minimal protective pressure sensation and result in a donor site that is well tolerated and treated. We analysed 7 cases that were treated with the Instep flap due to soft-tissue defects over these regions from July of 1990 to July of 1993. All flaps were viable and successful at follow-up. 1. The age ranged from 9 years to 60 years, and 6 cases were male and 1 case female. 2. The sites of soft-tissue loss were the plantar forefoot(1 case), plantar heel(3 cases), Achilles tendon(2 cases), and distal parts of lower leg(1 case). 3. The causes of soft-tissue loss were simple soft-tissue crushing injury(1 case), crushing injury of the 1st toe(1 case) and posttraumatic infection and necrosis(5 cases). 4. The associated injury were open distal tibio-fibula, fracture(2 cases), medial malleolar fracture of the ankle(1 case), Achilles tendon rupture(2 case) and 1st metatarso-phalangeal disarticulation(1 case). 5. The size of flap was from