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논문 기본 정보

자료유형
학술저널
저자정보
Park, Jin-Su (Department of Plastic and Reconstructive Surgery, Chonbuk National University School of Medicine) Roh, Si-Gyun (Department of Plastic and Reconstructive Surgery, Chonbuk National University School of Medicine) Lee, Nae-Ho (Department of Plastic and Reconstructive Surgery, Chonbuk National University School of Medicine) Yang, Kyoung-Moo (Department of Plastic and Reconstructive Surgery, Chonbuk National University School of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제40권 제3호
발행연도
2013.1
수록면
220 - 225 (6page)

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Background A recent advancement in microsurgery, the free flap is widely used in the reconstruction of the lower leg and foot. The simple and effective methods of local flaps, including transposition and advancement flaps, have been considered for patients with chronic debilitation who are unable to endure long surgical procedures or general anesthesia. However, the location and size of the wound may restrict the clinical application of a local flap. Under these circumstances, a sural flap can be an excellent alternative, rendering satisfying clinical outcomes in chronically debilitated patients. Methods Between 2008 and 2012, 39 patients underwent soft tissue defect treatment by sural artery flap as a final method. All of the patients had at least one chronic disease or more (diabetes, hypertension, vascular disease, etc.). Also, all of the patients had a history of chronic lower extremity ulceration, which revealed no response to several months of conservative treatment. Results The results of the 39 cases had a success rate of 100% with 39 complete recoveries. Nine cases suffered complications: partial necrosis (n=4), wound dehiscence without necrosis (n=3), hematoma (n=1), and infection (n=1). Conclusions The sural artery flap is not only useful for the lower leg but also for the heel, and other various parts. Furthermore, it is a relatively simple surgical technique for reconstructing the defect area for patients with various chronic conditions with a high surgical risk or contraindications to surgery.
#Sural #Soft tissue injuries #Surgical flap

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참고문헌 (13)

참고문헌 신청
Fraccalvieri M / 2000 / The distally based superficial sural flap: our experience in reconstructing the lower leg and foot / Ann Plast Surg 45:132~139 google schola Chen SL / 2006 / The distally based sural fasciomusculocutaneous flap for foot reconstruction / J Plast Reconstr Aesthet Surg 59:846~855 google schola Serafin D / 1977 / Comparison of free flaps with pedicled flaps for coverage of defects of the leg or foot / Plast Reconstr Surg 59:492~499 google schola Swartz WM / 1985 / The role of free-tissue transfers in lower-extremity reconstruction / Plast Reconstr Surg 76:364~373 google schola Ponten B / 1981 / The fasciocutaneous flap: its use in soft tissue defects of the lower leg / Br J Plast Surg 34:215~220 google schola

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