지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 709 - 715 (7page)
이용수
초록· 키워드
오류제보하기
Background The distally based sural artery flap is a reliable, local reconstructive option for small soft tissue defects of the distal third of the leg. The purpose of this study is to describe an adipofascial flap based on a single sural nerve branch without sacrificing the entire sural nerve, thereby preserving sensibility of the lateral foot. Methods The posterior aspect of the lower limb was dissected in 15 cadaveric limbs. Four patients with soft tissue defects over the tendo-achilles and ankle underwent reconstruction using the adipofascial flap, which incorporated the distal peroneal perforator, short saphenous vein, and a single branch of the sural nerve. Results From the anatomical study, the distal peroneal perforator was situated at an average of 6.2 cm (2.5-12 cm) from the distal tip of the lateral malleolus. The medial and lateral sural nerve branches ran subfascially and pierced the muscle fascia 16 cm (14-19 cm) proximal to the lateral malleolus to enter the subcutaneous plane. They merged 1-2 cm distal to the subcutaneous entry point to form the common sural nerve at a mean distance of 14.5 cm (11.5-18 cm) proximal to the lateral malleolus. This merging point determined the pivot point of the flap. In the clinical cases, all patients reported near complete recovery of sensation over the lateral foot six months after surgery. All donor sites healed well with a full range of motion over the foot and ankle. Conclusions The distally based sural artery adipofascial flap allowed for minimal sensory loss, a good range of motion, an aesthetically acceptable outcome and can be performed by a single surgeon in under 2 hours.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Masquelet AC / 1992 / Skin island flaps supplied by the vascular axis of the sensitive superficial nerves:anatomic study and clinical experience in the leg / Plast Reconstr Surg 89:1115~1121
Nakajima H / 1998 / Accompanying arteries of the cutaneous veins and cutaneous nerves in the extremities: anatomical study and a concept of the venoadipofascial and/or neuroadipofascial pedicled fasciocutaneous flap / Plast Reconstr Surg 102:779~791
Nakajima H / 1999 / Accompanying arteries of the lesser saphenous vein and sural nerve: anatomic study and its clinical applications / Plast Reconstr Surg 103:104~120
Nolan MF / 1983 / Limits of two-point discrimination ability in the lower limb in young adult men and women / Phys Ther 63:1424~1428
Wang C / 2014 / The distally based lateral sural neuro-lesser saphenous veno-fasciocutaneous flap: anatomical basis and clinical applications / J Orthop Traumatol 15:215~223
Nakajima H / 1998 / Accompanying arteries of the cutaneous veins and cutaneous nerves in the extremities: anatomical study and a concept of the venoadipofascial and/or neuroadipofascial pedicled fasciocutaneous flap / Plast Reconstr Surg 102:779~791
Nakajima H / 1999 / Accompanying arteries of the lesser saphenous vein and sural nerve: anatomic study and its clinical applications / Plast Reconstr Surg 103:104~120
Nolan MF / 1983 / Limits of two-point discrimination ability in the lower limb in young adult men and women / Phys Ther 63:1424~1428
Wang C / 2014 / The distally based lateral sural neuro-lesser saphenous veno-fasciocutaneous flap: anatomical basis and clinical applications / J Orthop Traumatol 15:215~223
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