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사지 재건에 있어 서혜부 유리 피판술의 적응증 및 예후 인자

Other Titles
 Indications and Prognostic Factors of Groin Flap for Reconstruction of the Extremities 
Authors
 김보람  ;  한수봉  ;  강호정  ;  최윤락  ;  김선용 
Citation
 Journal of the Korean Society for Microsurgery (대한미세수술학회지), Vol.18(2) : 41-48, 2009 
Journal Title
 Journal of the Korean Society for Microsurgery (대한미세수술학회지) 
ISSN
 1226-2706 
Issue Date
2009
Keywords
Groin flap ; Reconstruction ; Extremity ; Prognostic factor
Abstract
There are several advantages for groin flap, but its small and unpredictable vessels of pedicle have made it to lose its initial popularity. Although it would be ideal flap when it is focused on its useful advantages such as relative larger size, low donor site morbidity and possible bone graft, there have been few studies for prognostic factors for successful groin flap. Authors intended to determine prognostic factors which are relative with success of free groin flap. From January 1985 to December 2007, 107 patients who underwent groin flap for reconstruction of extremities were selected consecutively. Univariate and multivariate analysis were performed to determine prognostic factors which were related with success of groin flap. Eighty of 107 (74.8%) flaps survived. There was significant difference in success rate according to the recipient site. Nineteen of 20 cases (95%) survived in upper extremities, but 61 of 87 cases (70.1%) survived in lower extremities, which was statistically significant (p=0.022). Univariate analysis showed that mean diameter of donor veins was significantly larger in success group (p=0.021). Groin flap is recommended for reconstruction of upper extremities than lower extremities. It is thought to be critical that surgeons try to match vessel diameters between donor and recipient site.
Files in This Item:
T200905130.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Kim, Bo Ram(김보람)
Choi, Yun Rak(최윤락)
Hahn, Soo Bong(한수봉)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105745
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