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
- 2019.1
- 수록면
- 260 - 266 (7page)
이용수
초록· 키워드
오류제보하기
A postburn contracture involving the palmar skin and subcutaneous tissues results in a severe loss of functionality of the affected hand. The corrective surgical procedures aim for an improvement of the range of motion of the metacarpophalan-geal (MCP) joints and target the reconstruction of a durable and sensitive palmar-specific anatomical structure. We suc-cessfully treated a 53-year-old male patient with a long-standing postburn contracture of all the right MCP joints and un-derlying palmar tissue. We performed contracture release and adductor pollicis myotomy and reconstructed the resultant palmar defect with a sensate medial plantar free flap to restore acute skin sensitivity and resurface the glabrous skin of the palm. The Kirschner-wire fixation utilized for stabilizing the extended MCP joints was maintained for 3 weeks after contracture release. The restored palmar skin and soft tissue improved the MCP joint movements, enabling grasping and pinching motions and thus restoring functionality of the operated hand.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Ninkovíc MM / 1997 / Reconstruction of large palmar defects of the hand using free flaps / J Hand Surg Br 22:623~630
Engelhardt TO / 2012 / Functional resurfacing of the palm : flap selection based on defect analysis / Microsurgery 32:158~166
Ninković M / 1996 / The instep free flap to resurface palmar defects of the hand / Plast Reconstr Surg 97:1489~1493
Kuran I / 2000 / Comparison between sensitive and nonsensitive free flaps in reconstruction of the heel and plantar area / Plast Reconstr Surg 105:574~580
Chai YM / 2011 / Combined medialis pedis and medial plantar fasciocutaneous flaps based on the medial plantar pedicle for reconstruction of complex soft tissue defects in the hand / Microsurgery 31:45~50
Engelhardt TO / 2012 / Functional resurfacing of the palm : flap selection based on defect analysis / Microsurgery 32:158~166
Ninković M / 1996 / The instep free flap to resurface palmar defects of the hand / Plast Reconstr Surg 97:1489~1493
Kuran I / 2000 / Comparison between sensitive and nonsensitive free flaps in reconstruction of the heel and plantar area / Plast Reconstr Surg 105:574~580
Chai YM / 2011 / Combined medialis pedis and medial plantar fasciocutaneous flaps based on the medial plantar pedicle for reconstruction of complex soft tissue defects in the hand / Microsurgery 31:45~50
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