천공지 유리 피판술을 이용한 소아 사지 연부조직 결손의 재건

Soft Tissue Reconstruction of Children's Extremity with Perforator free Flap

  • 김학수 (포항 세명 기독병원 정형.성형센터) ;
  • 김경철 (포항 세명 기독병원 정형.성형센터) ;
  • 김성언 (포항 세명 기독병원 정형.성형센터)
  • Kim, Hak-Soo (SM Christianity Hospital Upper Extremity & Microsurgery Center) ;
  • Kim, Kyung-Chul (SM Christianity Hospital Upper Extremity & Microsurgery Center) ;
  • Kim, Seong-Eon (SM Christianity Hospital Upper Extremity & Microsurgery Center)
  • 발행 : 2007.05.31

초록

Perforator free flap (PFF) is currently a major reconstructive option for soft tissue reconstruction in adults. Although PFFs have been used commonly, most reconstructive surgeons still hesitate to perform PFFs in children. The main cause of concern is the perceived high failure rate related to the small diameter of children's perforator vessels. We present 8 consecutive cases of successful transfer of thoracodorsal artery (TDA) & anterolateral thigh (ALT) perforator flap in children. Between 2003 and 2005, 8 children(4 to 13 years old) with soft tissue defects of the extremities were reconstructed with TDA & ALT PFFs. All flaps completely survived. There were no problems relating to vascular spasm or occlusion. Range of motion of reconstructed extremities were fully recovered. Among 8 patients, only 1 patient was performed an additional flap thinning procedure. 8 cases of TDA & ALT perforator flaps were successfully transferred in children. PFF is an excellent option in reconstruction of children as well as in adults because of its thinness, long pedicle length, least donor site morbidity and acceptable donor site scar.

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