RISS 검색 - 국내학술지논문 상세보기

부가정보

다국어 초록 (Multilingual Abstract)

Background : The objective of this study was to evaluate the clinical results of operative treatment on skin defect of lower extremities by free anterolateral thigh flap.
Methods : Between 2005 to 2009 we followed up 10 cases who undergoing anterolateral thigh free flap because of lower extremity skin and soft tissue defect. 3 cases are heel, ankle and foot dorsum are each 2 cases, sole and knee, thigh are each 1 case. We observed that of implanted area's color, peripheral circulation at 3, 5, 7 days after operation and evaluation with operating time, amount of hemorrhage, implanted skin necrosis, additional operation, complications.
Results : 9 cases of 10 showed successful localization and 1 case showed fail. Size of soft tissue defect due to trauma was 9.5 × 7.3cm (5 × 6cm∼13 × 8cm), due to trauma or infection was 18.3 × 11.8cm (13 × 6cm∼30 × 20cm). Skin color change was mainly due to congestion with hematoma, flap was not observed global congestion or necrosis except 2 cases which showed partial necrosis on margin that treated with conservative therapy.
Conclusion : Anterolateral thigh free flap is useful in radical skin defect treatment and had a good results after operation functional reconstruction.

목차 (Table of Contents)

연구대상 및 방법
수술 술기
증례 보고
증례1
증례2

연구대상 및 방법
수술 술기
증례 보고
증례1
증례2
결과
고찰
결론
참고문헌

참고문헌 (Reference)

1 Baek SM, "Two new cutaneous free flap: the medial and lateral thigh flap" 71 : 354-365, 1983

2 Ponten B, "The Fasciocutaneous flap. Its use in soft tissue defects of the lower leg" 34 : 215-220, 1981

3 O’Brien EM, "Successful transfer of a large island flap from the groin to the foot by microvascular anastomosis" 52 : 271-, 1973

4 Kim CK, "Reconstruction of soft tissue defect of lower extremity with anterolateral thigh perforator flap" 15 : 70-76, 2006

5 Hidalgo DA, "Reconstruction of foot injuries" 13 : 663-680, 1986

6 Wei FC, "Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps" 109 : 2219-2226, 2002

7 Koshima I, "Free anterolateral thigh flaps for reconstruction of head and neck defects" 92 : 421-428, 1991

8 Rooks MD, "Coverage problems of the foot and ankle" 20 : 723-736, 1989