비골 동맥 천공지 기저 프로펠러 피판술을 이용한 족관절 주위 연부조직 결손의 재건술: 4예 보고
Peroneal Artery Perforator-Based Propeller Flaps for Reconstruction of Soft Tissue Defect around the Ankle Joint: A Report of Four Cases
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Four patients with soft tissue defects around the ankle joint were covered with peroneal artery perforator-based propeller flaps. Using color Doppler sonography, the flap was designed by considering the location of the perforator and soft tissue defects. The procedure was then performed by rotating the flap by 180o. Additional skin graft was required in a patient due to partial necrosis, and delayed wound repair was performed in another patient with poor blood circulation at the distal part of the flap. The remaining patients did not have any complications and results were considered excellent. Good outcomes were eventually obtained for all patients.
Abstract
Four patients with soft tissue defects around the ankle joint were covered with peroneal artery perforator-based propeller flaps. Using color Doppler sonography, the flap was designed by considering the location of the perforator and soft tissue defects. The procedure was then performed by rotating the flap by 180o. Additional skin graft was required in a patient due to partial necrosis, and delayed wound repair was performed in another patient with poor blood circulation at the distal part of the flap. The remaining patients did not have any complications and results were considered excellent. Good outcomes were eventually obtained for all patients.
참고문헌 (9)
- Rad AN, "Peroneal artery perforator-based propeller flap reconstruction of the lateral distal lower extremity after tumor extirpation : case report and literature review", Microsurgery, 28, pp.663~670 (2008)
- Schaverien M, "Perforators of the lower leg : analysis of perforator locations and clinical application for pedicled per forator flaps", Plast Reconstr Surg, 122, pp.161~170 (2008)
- Mateev MA, "Reconstruction of soft tissue defects in the extremities with a pedicled perforator flap : series of 25 patients", J Plast Surg Hand Surg, 46, pp.32~36 (2012)
- Yoo MC, "A clinical study of buoy flap", J Korean Orthop Assoc, 22, pp.1157~1165 (1987)
- Chung DW, "Peroneal perforator flap", J Korean Soc Microsurg, 13, pp.29~35 (2004)
- Masquelet AC, "The plantar flap in reconstructive surgery of the foot", Presse Med, 13, pp.935~936 (1984)
- Recalde Rocha JF, "The anterior tibial artery flap : anatomic study and clinical application", Plast Reconstr Surg, 79, pp.396~406 (1987)
- Kneser U, "Comparison between distally based peroneus brevis and sural flaps for reconstruction of foot, ankle and distal lower leg : an analysis of donor-site morbidity and clinical outcome", J Plast Reconstr Aesthet Surg, 64, pp.656~662 (2011)
- Ensat F, "Doppler sonography and colour Doppler sonography in the preoperative assessment of anterolateral thigh flap perforators", Handchir Mikrochir Plast Chir, 43, pp.71~75 (2011)