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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Ahn, Deok Ki (Department of Plastic and Reconstructive Surgery, Yonsei University Health System, Severance Hospital, Yonsei University College of Medicine) Lew, Dae Hyun (Department of Plastic and Reconstructive Surgery, Yonsei University Health System, Severance Hospital, Yonsei University College of Medicine) Roh, Tai Suk (Department of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) Lee, Won Jai (Department of Plastic and Reconstructive Surgery, Yonsei University Health System, Severance Hospital, Yonsei University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제42권 제5호
발행연도
2015.1
수록면
619 - 625 (7page)

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Background The reconstruction of ankle and heel defects remains a significant problem for plastic surgeons. The following options exist for reconstructing such defects: local random flaps, reverse flow island flaps, and free flaps. However, each of these methods has certain drawbacks. Peroneal artery perforators have many advantages; in particular, they are predictable and reliable for ankle and heel reconstructions. In this study, we report our clinical experience with peroneal artery perforator-based pedicled flaps in ankle and heel reconstructions. Methods From July 2005 to October 2012, 12 patients underwent the reconstruction of soft tissue defects in the ankle and heel using a peroneal artery perforator-based pedicled flap. These 12 cases were classified according to the anatomical area involved. The cause of the wound, comorbidities, flap size, operative results, and complications were analyzed through retrospective chart review. Results The mean age of the patients was 52.4 years. The size of the flaps ranged from $5{\times}4$ to $20{\times}8cm^2$. The defects were classified into two groups based on whether they occurred in the Achilles tendon (n=9) or heel pad (n=3). In all 12 patients, complete flap survival was achieved without significant complications; however, two patients experienced minor wound dehiscence. Nevertheless, these wounds healed in response to subsequent debridement and conservative management. No patient had any functional deficits of the lower extremities. Conclusions Peroneal artery perforator-based pedicled flaps were found to be a useful option for the reconstruction of soft tissue defects of the ankle and heel.
#Lower extremity #Perforator flap #Achilles tendon #Heel

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참고문헌 (25)

참고문헌 신청
Lee YH / 2004 / Distally based lateral supramalleolar adipofascial flap for reconstruction of the dorsum of the foot and ankle / Plast Reconstr Surg 114:1478~1485 google schola Jakubietz RG / 2010 / Reconstruction of soft tissue defects of the Achilles tendon with rotation flaps, pedicled propeller flaps and free perforator flaps / Microsurgery 30:608~613 google schola Terzic Z / 2014 / Clinical aspects of reconstruction of the lower third of the leg with fasciocutaneous flap based on peroneal artery perforators / Vojnosanit Pregl 71:39~45 google schola Rad AN / 2008 / Peroneal artery perforator-based propeller flap reconstruction of the lateral distal lower extremity after tumor extirpation: case report and literature review / Microsurgery 28:663~670 google schola Chang SM / 2009 / Distally based sural fasciomyocutaneous flap: anatomic study and modified technique for complicated wounds of the lower third leg and weight bearing heel / Microsurgery 29:205~213 google schola

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