Hip Flexion during Intraoperative Insetting of a Perforator Flap for Reconstruction of an Ischial Sore

Nam, Su Bong; Oh, Heung Chan; Lee, Jae Woo; Song, Kyeong Ho; Bae, Seong Hwan

추천

검색

자료유형: 학술저널

저자정보: Nam, Su Bong (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Oh, Heung Chan (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Lee, Jae Woo (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Song, Kyeong Ho (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Bae, Seong Hwan (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine)

저널정보: 대한미세수술학회 대한미세수술학회지 대한미세수술학회지 제25권 제2호

발행연도: 2016.1

수록면: 43 - 48 (6page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: Perforator flap-using ischial sore reconstruction is performed in a prone position. But after the surgery, recurrence frequently occurs in a sitting position. In this sense, we introduce modified flap insetting method which closely resembles patient's sitting position to lessen the flap tension surgically. Materials and Methods: Authors tried to check a skin tension difference between prone position and sitting position in normal people group and to find out the importance of performing flap insetting in hip flexion position. Healthy volunteers were collected (n=20) and designed the same length of 4 divided sections around the ischium. Lengths of each section were measured when hip joint was flexed to 90 degree and when both hip and knee joints were flexed to 90 degree and the statistical evaluation was performed. Twenty cases with ischial sore underwent reconstructive surgery using perforator flap under hip flexion position and followed-up for any recurrences. Results: There was a meaningful difference between the joint flexed skin length and that of the neutral position. Flap showed sufficient thickness over 12 months. Conclusion: It seems that recurrence could be reduced when the reconstructed flap could sufficiently cover in a sitting position regarding its significant length difference in normal people group.

#Pressure ulcer #Ischium #Perforator flap

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!