섬피판들을 이용한 무릎 이하 부위 재건

Reconstruction of Regions Below the Knee Using Island Flaps

  • 최동일 (한림대학교 의과대학 성형외과학교실) ;
  • 정철훈 (한림대학교 의과대학 성형외과학교실) ;
  • 이종욱 (한림대학교 의과대학 성형외과학교실) ;
  • 김진왕 (한림대학교 의과대학 성형외과학교실)
  • Choi, Dong Il (Department of Plastic and Reconstructive Surgery, College of Medicine, Hallym University) ;
  • Chung, Chul Hoon (Department of Plastic and Reconstructive Surgery, College of Medicine, Hallym University) ;
  • Lee, Jong Wook (Department of Plastic and Reconstructive Surgery, College of Medicine, Hallym University) ;
  • Kim, Jin Wang (Department of Plastic and Reconstructive Surgery, College of Medicine, Hallym University)
  • 투고 : 2007.05.16
  • 발행 : 2008.05.10

초록

Purpose: The lower leg often has poor vascularity, proximity to bone, and insufficient soft tissue. The island flaps offer a feasible one stage reconstruction and has a remarkable vascularization and high quality results for soft tissue defect with or without bony problems to occur on regions below the knee. So we reported our experience of island flaps with review of the literatures. Methods: We reconstructed 29 cases of soft tissue and 2 cases of bony defect on regions below the knee by using various island flaps at our hospital from December, 1991 to January, 2006. We used 2 fibular osteocutaneous island flaps, 15 reverse sural island flaps, 6 extensor digitorum brevis muscular island flaps, 2 medial plantar island flaps, 5 saphenous island flaps, and a dorsalis pedis island flap. Results: Partial necrosis was developed in 4 out of 15 reverse sural island flaps and 1 out of 5 saphenous island flaps, but they were healed with secondary skin graft. There was partial loss of skin graft on the donor sites in 2 cases. Conclusion: Island flaps are very useful for reconstruction of regions below the knee because island flaps have good vascularity and less risk of infection. Generous flap size, easy operative technique, lower cost, shorter operative time, and minimal morbidity at the donor site are other advantages. We attained satisfactory results.

키워드

참고문헌

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