하지에 있어 고압 전기 화상의 재건술 = RECONSTRUCTION OF THE HIGH-TENSION ELECTRICAL BURNS IN LOWER EXTREMITIES

다국어 초록 (Multilingual Abstract)

From March 1992 to September 1995, we had treated thirty patients with high-tension electrical burns in lower extremities. High-tension electrical injury in extremity had difficult problems on wound management, and it may resulted in destruction of the underlying deep structures. Because lower extremity which is responsible for weight bearing plays an important part of the body, the wound management and reconstruction should be carefully considered in many ways. After clinically analysis of the patients and the reconstructive methods, following results are obtained.
1. The defects on output site are usually located at weight bearing or contact areas around feet and knees.
2. About half of lesions in feet or knees finally result in osteomyelitis.
3. The wounds progress to around area and local flaps are frequently not available.
Adequate free flap transfer provides most reliable method for the management of the difficult wound.
4. At the time of free flap reconstruction, thorough inspection and sufficient dissection should be applied, because the recipient vessels and connective tissues borded on the wounds had wide spreaded fibrosis.