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Tendon transfer with a microvascular free flap for injured feet in children

Authors
 Soo Bong Hahn  ;  Jin Woo Lee  ;  Jae Hun Jeong 
Citation
 JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, Vol.80(1) : 86-90, 1998 
Journal Title
 JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME 
ISSN
 0301-620X 
Issue Date
1998
MeSH
Ankle Joint/physiopathology ; Child ; Child, Preschool ; Female ; Foot Injuries/physiopathology ; Foot Injuries/surgery* ; Humans ; Male ; Range of Motion, Articular ; Retrospective Studies ; Surgical Flaps* ; Tendon Transfer*
Abstract
We reviewed 11 patients who had been treated between January 1986 and June 1994 for severe foot injuries by tendon transfer with microvascular free flaps. Their mean age was 5.6 years (3 to 8). Five had simultaneous tendon transfer and a microvascular free flap and six had separate operations. The mean interval between the tendon transfer and the microvascular free flap was 5.8 months (2 to 15) and the mean time between the initial injury and the tendon transfer was 9.6 months (2 to 21). The anterior tibial tendon was split in five of six cases. The posterior tibial tendon was used three times and the extensor digitorum longus tendon twice. The mean follow-up was 39.7 months (24 to 126). There were nine excellent and two good results. Postoperative complications included loosening of the transferred tendon (2), plantar flexion contracture (1) mild flat foot deformity (1) and hypertrophic scars (2). We recommend tendon transfer with a microvascular free flap in children with foot injuries combined with nerve injury and extensive loss of skin, soft tissue and tendon.
Files in This Item:
T199801286.pdf Download
DOI
10.1302/0301-620x.80b1.7891
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Jin Woo(이진우) ORCID logo https://orcid.org/0000-0002-0293-9017
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/176414
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