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족저부 감각피판을 이용한 조직결손 재건술

Other Titles
 Clinical application of sensate instep flaps 
Authors
 탁관철  ;  유원민  ;  이훈범  ;  유재덕 
Citation
 Journal of the Korean Society of Plastic and Reconstructive Surgery (대한성형외과학회지), Vol.22(3) : 641-650, 1995-06 
Journal Title
Journal of the Korean Society of Plastic and Reconstructive Surgery(대한성형외과학회지)
ISSN
 1015-6402 
Issue Date
1995-06
Abstract
Heel of the sole and palm of the hand are anatomically unique. Satisfactory reconstruction of these areas presents the plastic surgeon with many challenges and requires durable and sensible skin coverage, minimal donor morbidity and reliable operative procedure.
We presents 15 clinical cases of sensate instep flap transfer in this paper. Ten instep island flaps and 5 instep free flaps, based on the medial plantar neurovascular bundle were transferred on hands(3 cases) and feet(12 cases) during the last 2 years. Six cases were soft tisssue defects due to wide excision of melanoma on heel. Four cases were pressure sores on heel and lateral maleolla. Four cases were avulsion injuries on palm, thumb and heel and 1 cases was contracture of first web of hand.
Follow-up period ranged from 3 months to 3 years. Through the whole follow-up period, all flaps were viable and durable to withstand chronic weight bearing and were sensible enough to protect the recocstructed area from injuries and maintain functions.
In conclusions, the instep flap, whatever it is island or free flap, should be considered as a valuable tool in reconstruction of sole and palm.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Tark, Kwan Chul(탁관철)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/186465
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