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서지반출
수부 및 상지 재건을 위한 전외측 대퇴부 천공지 유리피판의 다양한 이용: 119예의 후향적 분석
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  • 수부 및 상지 재건을 위한 전외측 대퇴부 천공지 유리피판의 다양한 이용: 119예의 후향적 분석
저자명
김주용,박지강,이항호,이영근,우상현,Kim. Joo-Yong,Park. Ji-Gang,Lee. Hang-Ho,Lee. Young-Keun,Woo. Sang-Hyun
간행물명
대한미세수술학회지
권/호정보
2009년|18권 1호|pp.1-8 (8 pages)
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대한미세수술학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Purpose: The perforator flaps have established their role in the reconstruction of various soft tissue defects. For the last five years, we have extensively used anterolateral thigh (ALT) flap for the reconstruction of the complex tissue defects of the hand and upper extremity and report the clinical results and our experiences with the versatile applications of this flap. Materials and Methods: From March 2003 through May 2008, 119 free ALT perforator flaps were transferred for reconstruction of the complex tissue defects of the elbow, forearm, wrist and hand after crushing or degloving injuries as well as severe scar contractures. There were 95 females and 24 males. The mean age of the patients was 37 years and mean size of the flap was 170 $cm^2$. In 20 cases, the flap was vascularized by septocutaneous and in 99 cases by musculocutaneous perforators. Intra-muscular dissection length averaged 3.4 cm. The total length of pedicle averaged 8.4 cm and the average arterial diameter was 0.84 mm. End-to-end arterial anastomosis was performed in 103 cases and end-to-side in 16 cases. Results: Flap survival rate was 98.3%(117/119) and there were 6 cases of partial necrosis. Donor site was closed primarily in 41 cases and skin grafts were applied in 78 cases. Conclusion: The reliability and versatility of ALT flap makes it one of the foremost choices for the reconstruction of complex tissue defects of the upper extremity.