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저자명
김형민,송석환,김윤수,최문구,이기행,정창훈,정진호,Kim. Hyoung-Min,Song. Suk-Whan,Kim. Youn-Soo,Choi. Moon-Gu,Lee. Kee-Haeng,Jeong. Chang-Hoon,Jung. Ji
간행물명
대한미세수술학회지
권/호정보
2001년|10권 2호|pp.137-142 (6 pages)
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대한미세수술학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

This study evaluated the results of reconstructions of thumb web space in the patients with adduction contracture of thumb. Between February 1990 and April 2000, 28 patients with thumb web space adduction contracture were treated with various reconstruction methods. We divided the patients according to the severity; mild$(41^{circ}{sim}80^{circ})$, moderate$(21^{circ}{sim}40^{circ})$, severe$(20^{circ}less)$ contracture. The number of patients with mild contracture was 5, moderate; 12, severe; 11. We performed Z-plasty in 15, free flap in 8, local flap in 3, abdominal flap in 1 and scar release only in 1 case. The mean follow-up period was 5.7 years, ranged from 1.5 to 11.2 years. The results of web reconstruction were evaulated by thumb web space angle. There were excellent in 9, good in 16, fair in 3 cases. Z-plasty was performed in the 5 cases with mild contracture, and all the results were excellent. Especially, free flap was performed in the 6 cases with severe contracture, and all the results were good or excellent. in the reconstruction of thumb web space contracture, we recommend Z-plasty for a mild contracture, and free flap for large soft tissue defect created by release of a severe contracture.