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Journal of the Korean Society of Traumatology 2007;20(2):119-124.
Reconstruction of Lower Extremities using Anterolateral thigh Perforator Free Flaps
Tae Gon Kim, Min Gu Kang
1Department of Plastic and Reconstructive Surgery, Ulsan University Hospital, University of Ulsan, College of Medicine, Korea.
2Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, School of Medicine, Sung Kyun Kwan University, Korea. kmgu@paran.com
전외측 대퇴부 천공지 유리피판을 이용한 하지 재건
김태곤*·강민구
울산대학교 의과대학 성형외과학교실*
성균관대학교 의과대학 성형외과학교실
Abstract
PURPOSE
Management of the soft tissue defect in the lower extremity caused by trauma has always been difficult. Coverage with local and free muscle flaps after complete surgical excision of necrotic soft tissue and bone is a major strategy for treatment. There is no doubt that muscle provides a good blood supply, thus improving bone healing and increasing resistance to bacterial inoculation. However, accompanying problems are seen in cases with shallow dead space. This research was conducted to assess the efficacy of raising anterolateral thigh flaps and transferring them to the defect after complete debridement of non-viable, infected, and scar tissue as an alternative way to use local or free muscle flaps.
METHODS
From March 2005 to October 2007, 18 cases of soft tissue defect on lower extremities were re-surfaced with an anterolateral thigh perforator free flap.
RESULTS
The follow-up period ranged from 1 to 31 months with a mean of 15.9 months. All flaps survived completely. Satisfactory aesthetic and functional results were achieved. Under a two-point discrimination test, 13 patients had sensory recovery from 11 mm to 20 mm after 6 months postoperatively.
CONCLUSION
Reconstruction of the lower extremity with anterolateral thigh perforator free flaps after appropriate debridement is a good alternative way to use local or free muscle flaps.
Key Words: Lower extremity; Anterolateral thigh flap
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