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손상 수부의 재건에 사용된 유리 피판술

Other Titles
 Free Flap Transfer for the Reconstruction of injured Hands 
Authors
 한수봉  ;  강호정  ;  김성훈  ;  정재학 
Citation
 Journal of the Korean Society for Surgery of the Hand, Vol.10(4) : 234-241, 2005 
Journal Title
Journal of the Korean Society for Surgery of the Hand(대한수부외과학회지)
ISSN
 1598-3889 
Issue Date
2005
MeSH
Hand injury ; Free flap ; Reconstruction
Keywords
Hand injury ; Free flap ; Reconstruction
Abstract
Purpose: The purpose is to analyze the clinical results of a free flap transfer for the reconstruction of variously injured hands. Materials and Methods: Between March 1983 and December 2002, we reviewed retrospectively 79 patients (68 mem, 11 women) treated for soft tissue defects or functional loss of hands or forearms. There were 49 mechanical injuries, 20 traffic accidents, 6 burn scars, 2 tumorous condition, 2 bite injuries. The results were evaluated with flap survival rate and functional score using 4 grading system of Jung’s criteria. Result: Sixty four out of total 79 flaps successfully survived (81%). There were 18 wrap around flaps (out of them 17 survived, 94%), 14 parascapular flaps (11, 78%), 16 groin flaps (14, 87%), 10 dorsalis pedis flaps (7, 70%), 5 lateral arm flaps (3, 60%), 3 deltoid flaps (2, 67%), 6 gracillis flaps (4, 67%), 3 first web space flaps (2, 67%), 2 latissimus dorsi flaps (2, 100%), 2 lateral thigh flaps (2, 100%). Out of survived 64 cases, excellent or good results were obtained in 62 cases. Conclusion: Free flap transfer for the reconstruction of injured hands is very useful method for the functional and cosmetic recovery. Especially combined transfer of several tissues enables the primary reconstruction and rapid recovery.
Files in This Item:
T200501618.pdf Download
DOI
OAK-2005-06679
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
Hahn, Soo Bong(한수봉)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/149881
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