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A Case of Heel Reconstruction with a Reverse Sural Artery Flap in a Hemophilia B Patient

  • Lee, Byung-Kwon (Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine) ;
  • Shim, Jeong-Su (Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine)
  • 투고 : 2011.10.24
  • 심사 : 2012.02.05
  • 발행 : 2012.03.15

초록

Hemophilia B is a rare blood coagulation disorder. Complications such as bleeding and hematoma can cause necrosis of flaps, wound disruption, and the disturbance of wound healing. In particular, guidelines for flap operations in hemophilia B patients have still not been defined, and case reports are rare. We reconstructed the heel of a 41-year-old male hemophilia B patient using a reverse sural artery flap operation. The patient presented with mild hemophilia, having 27% of the normal value of coagulation factor IX. Coagulation and the changing value of the coagulation factor were regularly measured, and 70% of the normal value of coagulation factor IX was maintained through the injection of recombinant coagulation factors and antihemorrhagics. Hematoma developed twice (postoperative day [POD] 5 and POD 7) and in each case the hematoma was removed. Injections of recombinant coagulation factors and antihemorrhagics were continuously administered until postoperative week 2. When the coagulation factors were within normal ranges. In this article, a hemophilia B patient underwent reverse sural artery flap surgery and the healing progress was analyzed. We conclude that higher than baseline levels of coagulation factors are needed for successful healing in reverse sural artery flap surgery.

키워드

참고문헌

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피인용 문헌

  1. Flap cover in a patient with severe haemophilia type A vol.50, pp.2, 2017, https://doi.org/10.4103/ijps.ijps_214_16
  2. Vascularized Free Tissue Transfer in a Patient with Hemophilia B: Case Report and Literature Review vol.2019, pp.None, 2012, https://doi.org/10.1155/2019/5430786