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KMID : 0358819890160020353
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1989 Volume.16 No. 2 p.353 ~ p.362
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THE TREATMENT OF SCAR CONTRACTURE WITH THE COMPOSITE FULL THICKNESS SKIN GRAFT WITH SUBDERMAL FAT LAYER
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Han Bong-Joo
Han Tae-Geun
Kim Dong-Il
Baek Se-Min
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Abstract
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We describe the use of the composite full thickness skin graft with subdermal fat layer and subdermal vascular plexus for the treatment of scar contracture. We treated 254 patients with a follow up period of 6 months to 2 years. Eight-nine percent of the contracture were secondary to burns, and 90% were located over joint surfaces. 95% of the patients had complete take of the graft; the other 5% had partial failures requiring small areas of regrafting. All patients had relief of contracture, with no clincaly significant recurrences. The cosmetic results were also excellent, with the grafted skin having a smooth, soft and natural apperarnce and texture, and in these respects is superior to free flaps due to the absence of bulkiness.
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