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아킬레스건을 포함한 뒷발굽 접촉성 피부 화상에 대해 시행한전외측 대퇴피부 피판술 및 아킬레스건 재건술: 증례 보고-기능적 회복을 위한 수술적 치료법-

Anterior Lateral Thigh Free Flap and Achilles Tendon Reconstruction Surgery for Contact Dermal Burn of Heel Including Achilles Tendon: A Case Report -Surgical Treatment for Functional Recovery

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초록

A 3rd degree burn on the heel including the Achilles tendon is vulnerable and requires active treatment to improve the functional outcomes. Previously, there have been a few treatments on severe burns, such as amputation, debridement or simple skin graft. The cooperative technique of an anterior lateral thigh flap with Achilles tendon reconstruction can be an innovative procedure that preserves the major arteries. The authors review a case and report the clinical outcome.

Abstract

A 3rd degree burn on the heel including the Achilles tendon is vulnerable and requires active treatment to improve the functional outcomes. Previously, there have been a few treatments on severe burns, such as amputation, debridement or simple skin graft. The cooperative technique of an anterior lateral thigh flap with Achilles tendon reconstruction can be an innovative procedure that preserves the major arteries. The authors review a case and report the clinical outcome.

참고문헌 (10)

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  3. Bullocks JM, "Singlestage reconstruction of Achilles tendon injuries and distal lower extremity soft tissue defects with the reverse sural fasciocutaneous flap", J Plast Reconstr Aesthet Surg, 61, pp.566~572 (2008)
  4. Deiler S, "Tensor fasciae latae perforator flap for reconstruction of composite Achilles tendon defects with skin and vascularized fascia", Plast Reconstr Surg, 106, pp.342~349 (2000)
  5. Lee JW, "Reconstruction of the Achilles tendon and overlying soft tissue using antero-lateral thigh free flap", Br J Plast Surg, 53, pp.574~577 (2000)
  6. Smith PJ, "The anatomical basis of the groin flap", Plast Reconstr Surg, 49, pp.41~47 (1972)
  7. Baumeister SP, "A realistic complication analysis of 70 sural artery flaps in a multimorbid patient group", Plast Reconstr Surg, 112, pp.129~140 (2003)
  8. Kim GC, "Reconstruction of soft tissue defect of lower extremity with anterolateral thigh perforator flap", J Korean Soc Micorsurg, 15, pp.70~76 (2006)
  9. Clark N, "Soft-tissue reconstruction of the foot and ankle", Orthop Clin North Am, 24, pp.489~503 (1993)
  10. Choi YR, "Reverse superficial sural artery flap for the reconstruction of soft tissue defect on posterior side of heel exposing Achilles tendon", J Korean Soc Micorsurg, 21, pp.159~164 (2012)

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