다양성 교차 하지(Cross-Leg) 유리 피판술을 이용한 하지의 피복

Abstract

Through refinements in operative techniques, tools and´ anestheic methods over the years, reconstruction has become possible in almost any soft tissue defect. As the number of trauma victims who sustained high velocity injury in lower extremities is increasing, the degree of open tibia fracture, the vascular rich free flap has been properly used. The surgical goals of resurfacing in open tibia fracture may be the prevention and treatment of osteomyelitis, secondary bone graft and ambulation with aestetically aceptable leg. If major vessel in the lower leg is severely injured and cannot be used the recipient vessels for microanastomosis, the treatment plan falls into "chaos". Yu Ehongjia(1983) reported "cross-bridge transplantation" latissimus dorsi myocutaneous free flap in one case of open tibial fractured patient. Authors performed one latissimus dorsi myocutaneous flap and one parascapular flap by "cross-leg fashioned" free flap respectively and performed one rectus muscular free flap and two latissimus dorsi muscular free flap in the same fashion without cutaneous portion. Because of the uncertainty of vascularization in muscle flap at the time of flap delay procedure many surgeons hesitate to use the pure muscle flap as a delay flap, that is, a free flap. We confirmed enough vascularization within the muscle by post-division angiogram.