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비골-가자미근 유리피판술을 이용한 족부의 골 및 연부 조직 결손 재건

Other Titles
 Fibula-Hemisoleus Osteomusculocutaneous Free Flap for Foot Reconstruction 
Authors
 탁관철 
Citation
 Journal of Korean Society for Microsurgery (대한미세수술학회지), Vol.10(1) : 34~37, 2001 
Journal Title
 Journal of Korean Society for Microsurgery (대한미세수술학회지) 
ISSN
 1226-2706 
Issue Date
2001
Abstract
The injury on the dorsum of foot is usually manifested in the defect of bone and soft tissue, so its reconstruction requires composite tissue. Free flap satisfies this defect but its indication is determined by the defect size, recipient status and so on. Iliac crest bone and fibular bone are useful bone flap but in more than 8 ㎝ defect, fibular flap is more useful. The drawback of fibular free flap is the absence of soft-tissue coverage, so another local flap and myocutaneous flap must be added. Fibula-hemisoleus ostemusculocutaneous free flap has been used for the reconstruction of upper and lower extremity. Its advantages are one stage operation, one donor site and the flexibility of the reconstruction with the use of muscle, bone, and skin. This flap has never been reported for the reconstruction of dorsum of foot. In our case, 20-year-old woman was referred with the 17 ㎝ defect of 1st metatarsal bone and 16×8 ㎝ sized soft tissue loss on the dorsum of the right foot. We reconstructed successfully the dorsum of foot with fibula-hemisoleus osteomusculocutaneous free flap and the patient can walk without crutches after 6 monthes.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/142767
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Plastic Surgery & Reconstructive Surgery
Yonsei Authors
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