유경 족배 도서형 피판을 이용한 족부 및 하지 원위부 재건술

Reconstruction of the Heel and Distal Leg Using Pedicled Dorsalis Pedis Island Flap

  • 이준모 (전북대학교 의과대학 정형외과학교실, 전북대학교 임상의학연구소) ;
  • 유창은 (전주 예수병원)
  • Lee, Mun-Mo (Department of Orthopedic Surgery, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Chonbuk National University) ;
  • Yu, Chang-Eun (Department of Orthopedic Surgery, Presbyterian Medical Center)
  • 발행 : 2003.10.31

초록

Purpose : Soft tissue defect and exposed tendons and bones with concomitant infection in the foot and lower leg have to be covered with vascularized flap as the one stage treatment. Authors have performed 6 cases of pedicled dorsalis pedis island flaps under the loupes magnification and evaluated the benefits. Materials and methods : From 1994 through 2003, we have performed 6 pedicled dorsalis pedis island flaps for reconstruction of soft tissue defects in the foot and lower leg. The causes were trauma in 3 cases, skin necrosis and secondary infection after Achilles tendon repair in 2 cases and acute osteomyelitis in 1 case. Average age was 38 years and 5 cases were male and 1 female. The results of the procedure was evaluated by survival of the island flap, comfort in putting on shoes and walking, comfort in the donor site, comfort in the recipient site and range of motion of the ankle joint. Results : All pedicled dorsalis pedis island flaps survived except 1. Three cases felt discomfort in the dorsum of foot as the donor site and 1 case of the Achilles tendon ruptured and repaired showed limited dorsiflexion of ankle joint. Conclusion : Nonmicrosurgical pedicled dorsalis pedis island flaps under the loupes magnification are one of the useful treatment methods because procedure is rapid, survival is confident and overall reconstructive results are good.

키워드