박근 유리피판술과 피부이식술을 이용한 아킬레스건이 노출된 창상의 재건

Reconstruction of Soft Tissue Defect, Exposing Achilles Tendon by Using Gracilis Muscle Free Flap and Skin Graft

  • 김한구 (중앙대학교 의과대학 성형외과학교실) ;
  • 곡낙수 (중앙대학교 의과대학 성형외과학교실) ;
  • 김우섭 (중앙대학교 의과대학 성형외과학교실) ;
  • 김승홍 (중앙대학교 의과대학 성형외과학교실)
  • Kim, Han Koo (Department of Plastic and Reconstructive Surgery, College of Medicine, Chung-Ang University) ;
  • Gok, Nak Soo (Department of Plastic and Reconstructive Surgery, College of Medicine, Chung-Ang University) ;
  • Kim, Woo Seob (Department of Plastic and Reconstructive Surgery, College of Medicine, Chung-Ang University) ;
  • Kim, Seung Hong (Department of Plastic and Reconstructive Surgery, College of Medicine, Chung-Ang University)
  • 투고 : 2006.10.10
  • 발행 : 2007.03.10

초록

Purpose: Reconstruction of the soft tissue defect exposing Achilles tendon is a formidable challenge because of the paucity of soft tissue and relatively poor blood supply. This article describes the reconstruction of soft tissue defect exposing Achilles tendon using gracilis muscle free flap and split-thickness skin graft. Methods: From 2000 to 2005, four patients with soft tissue defect exposing Achilles tendon and infection were operated using gracilis muscle free flap and split-thickness skin graft. The defect size ranged from 3.5 to 5cm wide and 6.5 to 8cm long. The mean postoperative follow-up was twenty months. Results: All the flaps were survived without necrosis and infection. We obtained the satisfactory results with good functional and aesthetical outcomes. All cases showed good results with the characteristics of a relatively thin flap without additional debulking procedure. Conclusion: Gracilis muscle free flap with split thickness skin graft could be a good option for reconstruction of soft tissue defect of posterior ankle, exposing Achilles tendon with minimal morbidity of the donor site.

키워드

참고문헌

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