Cited 17 times in
Treatment of Ischial Pressure Sores with Both Profunda Femoris Artery Perforator Flaps and Muscle Flaps
DC Field | Value | Language |
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dc.contributor.author | 나동균 | - |
dc.contributor.author | 유대현 | - |
dc.contributor.author | 윤인식 | - |
dc.contributor.author | 이동원 | - |
dc.contributor.author | 이원재 | - |
dc.date.accessioned | 2015-01-06T17:21:42Z | - |
dc.date.available | 2015-01-06T17:21:42Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 2234-6163 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/99835 | - |
dc.description.abstract | BACKGROUND: Reconstruction of ischial pressure sore defects is challenging due to extensive bursas and high recurrence rates. In this study, we simultaneously applied a muscle flap that covered the exposed ischium and large bursa with sufficient muscular volume and a profunda femoris artery perforator fasciocutaneous flap for the management of ischial pressure sores. METHODS: We retrospectively analyzed data from 14 patients (16 ischial sores) whose ischial defects had been reconstructed using both a profunda femoris artery perforator flap and a muscle flap between January 2006 and February 2014. We compared patient characteristics, operative procedure, and clinical course. RESULTS: All flaps survived the entire follow-up period. Seven patients (50%) had a history of surgery at the site of the ischial pressure sore. The mean age of the patients included was 52.8 years (range, 18-85 years). The mean follow-up period was 27.9 months (range, 3-57 months). In two patients, a biceps femoris muscle flap was used, while a gracilis muscle flap was used in the remaining patients. In four cases (25%), wound dehiscence occurred, but healed without further complication after resuturing. Additionally, congestion occurred in one case (6%), but resolved with conservative treatment. Among 16 cases, there was only one (6%) recurrence at 34 months. CONCLUSIONS: The combination of a profunda femoris artery perforator fasciocutaneous flap and muscle flap for the treatment of ischial pressure sores provided pliability, adequate bulkiness and few long-term complications. Therefore, this may be used as an alternative treatment method for ischial pressure sores. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 387~393 | - |
dc.relation.isPartOf | Archives of Plastic Surgery | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Treatment of Ischial Pressure Sores with Both Profunda Femoris Artery Perforator Flaps and Muscle Flaps | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Plastic Surgery & Reconstructive Surgery (성형외과학) | - |
dc.contributor.googleauthor | Chae Min Kim | - |
dc.contributor.googleauthor | In Sik Yun | - |
dc.contributor.googleauthor | Dong Won Lee | - |
dc.contributor.googleauthor | Dae Hyun Lew | - |
dc.contributor.googleauthor | Dong Kyun Rah | - |
dc.contributor.googleauthor | Won Jai Lee | - |
dc.identifier.doi | 10.5999/aps.2014.41.4.387 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02729 | - |
dc.contributor.localId | A01229 | - |
dc.contributor.localId | A02459 | - |
dc.contributor.localId | A02588 | - |
dc.contributor.localId | A03005 | - |
dc.relation.journalcode | J00231 | - |
dc.identifier.pmid | 25075362 | - |
dc.subject.keyword | Ischium | - |
dc.subject.keyword | Muscle | - |
dc.subject.keyword | Perforator flap | - |
dc.subject.keyword | Pressure ulcer | - |
dc.contributor.alternativeName | Rah, Dong Kyun | - |
dc.contributor.alternativeName | Lew, Dae Hyun | - |
dc.contributor.alternativeName | Yun, In Sik | - |
dc.contributor.alternativeName | Lee, Dong Won | - |
dc.contributor.alternativeName | Lee, Won Jai | - |
dc.contributor.affiliatedAuthor | Lee, Dong Won | - |
dc.contributor.affiliatedAuthor | Rah, Dong Kyun | - |
dc.contributor.affiliatedAuthor | Lew, Dae Hyun | - |
dc.contributor.affiliatedAuthor | Yun, In Sik | - |
dc.contributor.affiliatedAuthor | Lee, Won Jai | - |
dc.citation.volume | 41 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 387 | - |
dc.citation.endPage | 393 | - |
dc.identifier.bibliographicCitation | Archives of Plastic Surgery, Vol.41(4) : 387-393, 2014 | - |
dc.identifier.rimsid | 49635 | - |
dc.type.rims | ART | - |
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