Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
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Soft Tissue Reconstruction of Extremity using Anteromedial Thigh Perforator Free Flap

전 내측 대퇴부 천공지 유리 피판술을 이용한 사지의 연부조직 재건

  • Kong, Byeong-Seon (Hand and Microsurgery Clinic, Department of Orthopedic Surgery Choonhae Hospital) ;
  • Lee, Sang-Hyun (Hand and Microsurgery Clinic, Department of Orthopedic Surgery Choonhae Hospital) ;
  • Kim, Yong-Jin (Hand and Microsurgery Clinic, Department of Orthopedic Surgery Choonhae Hospital)
  • 공병선 (수부 및 미세수술 클리닉, 춘해병원 정형외과) ;
  • 이상현 (수부 및 미세수술 클리닉, 춘해병원 정형외과) ;
  • 김용진 (수부 및 미세수술 클리닉, 춘해병원 정형외과)
  • Published : 2005.05.31
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Abstract

Thigh perforator flaps are used popularly, because they have a small thickness, a long vascular pedicle and a low rate of donor site morbidity. Among thigh perforator flaps, anterolateral thigh perforator flaps are generally used, but it is not easy to dissect the vastus lateralis muscle to find the vasuclar pedicle. The authors have planed 11 anteromedial thigh perforator flaps that have septocutaneous perforators. We were able to find anteromedial thigh perforators in 8 cases(72.7%). The perforators originated from the medial descending branch of the lateral circumflex femoral artery in 2 cases and a branch to the rectus femoris muscle in 6 cases. Of this type of surgery, 7 flaps survived. However, 1 flap failed because of arterial insufficiency. We believe the anteromedial thigh perforator flap is a good option when the thigh region is decided as a donor site, but surgeons should keep in mind that the perforator of anteromedial thigh flap may be absent.

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