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상.하둔동맥 천공지피판을 이용한 대전자부 욕창의 치료

Other Titles
 The Treatment of Trochanteric Pressure Sore Using Superior or Inferior Gluteal Artery Perforator Flap 
Authors
 탁우현 ; 이원재 ; 나동균 ; 윤인식 
Citation
 Journal of the Korean Society of Plastic and Reconstructive Surgery (대한성형외과학회지), Vol.38(3) : 235~240, 2011 
Journal Title
 Journal of the Korean Society of Plastic and Reconstructive Surgery  (대한성형외과학회지) 
ISSN
 1015-6402 
Issue Date
2011
Abstract
Purpose: Management of pressure sores has been improved, along with development of musculocutaneous flaps and perforator flaps. Nowadays, the treatment of pressure sore with perforator flaps has shown several advantages, including minimal donor site morbidity, relatively versatile flap design not only in primary cases but also in recurred cases and minimized anatomical rearrangement of regional muscle position. In this study, we report our clinical experience of gluteal perforator flap used in the treatment of a greater trochanteric pressure sore. Methods: A clinical study was performed on 7 patients who underwent total 10 operations. 1 superior gluteal artery perforator flap and 9 inferior gluteal artery perforator flaps were used to reconstruct the defect, followed by the mean observation duration of 22 months. Results: There were no total flap loss. We treated 2 cases of partial flap loss with debridement and primary repair. 2 recurred cases were successfully treated using the same method. Donor sites were all primarily repaired. Conclusion: The gluteal perforator flap could be considered as a safe and favorable alternative in the treatment of soft tissue defects in the greater trochanteric area. The advantages of the flap include low donor site morbidity and the possibility of versatile flap design not only in primary cases but also in recurred cases.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/93888
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Plastic Surgery & Reconstructive Surgery
Yonsei Authors
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