The Value of Local Flaps in Lower Extrimity Reconstruction

Baek,  Jong Ryoon; Park,  Jong Woong; Lee,  Beom Koo; Moon,  Do Hyun; Kim,  Young Kyu; Park,  Hong Ki; Jun,  Deuk Soo; Sim,  Jae Ang; Shin,  Won Ju; Kwon,  Boo Kyung

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Original Article

Journal of the Korean Society for Surgery of the Hand 2008;17(2):75-81.
Published online November 30, 2008.

The Value of Local Flaps in Lower Extrimity Reconstruction

Jong-Ryoon, Baek, M.D., Jong Woong Park, M.D. *, Beom Koo Lee, M.D., Do Hyun Moon, M.D., Young-Kyu Kim, M.D., Hong-Ki Park, M.D., Deuk Soo Jun, M.D., Jae Ang Sim, M.D., Won Ju Shin, M.D., Boo Kyung Kwon, M.D.

¹Department of Orthopedic Surgery, Gil Hospital, Gachon University, Inchon, Korea. bjr-88@hanmail.net
²Department of Orthopedic Surgery, Korea University Medical Center, Seoul, Korea.

하지 재건에 사용된 국소 피판술의 유용성

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¹
²

Abstract

Purpose: The aim of this study was to evaluate the outcome and the effectiveness of local flaps in lower extremity reconstruction.
Materials and Methods: We have performed lower extremity reconstruction with local flap in 14 cases (10 males and 4 females) from May 2006 to February 2008. The mean age was 40.1 years (range, 16~67). The defect site was the tibia in 5 cases, the ankle in 1 case and the foot in 8 cases. The local flaps were reverse flow sural artery flap in 7 cases, gastrocnemius flap in 3 cases, lateral supramalleolar flap in 2 cases, dorsalis pedis flap in 1 case and medial hemisoleus flap in 1 case.
Results: All flaps were survived. Venous congestion was developed in 1 case of the rerverse flow sural artery flap but healed with secondary rotational flap. Other flaps were good without any complications.
Conclusion: If we choose precisely indicated local flap in lower extremity reconstruction, the resultant coverage of defect would be excellent.

Key Words: Lower extremity reconstruction, Local flap

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