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KMID : 0358819890160050785
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1989 Volume.16 No. 5 p.785 ~ p.797
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RECONSTRUCTION OF CHRONIC BONY EXPOSURE IN LOWER EXTREMITY BY MUSCLE FLAP COVERAGE
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Kim Dong-Chul
Lee Hyun-Taek
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Abstract
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To reconstruct the chronic bony exposure with extensive soft tissue defects of the lower extremity, the muscle flap coverage is preferred to cutaneous flap transfer.
7 lower extrmities in 6 patients of postburn wide bony exposure of lower extremity accompanying osteomyelitis were successfully reconstructed by various types of muscle flaps and proper administration of sensitive antibiotics. 1 patient developed recurrent infection at the postoperative 3 months, and the overall 83% of controlled infection rate were showen in this series. The average follow up period was 1.7 years in these 6 patients, all patients are currently ambulatory. This results demonstrated the effectiveness of muscle flap coverage in chronic bony coverage of lower leg with large area of soft tissue defects.
As a newly designed retrograde flow muscle flap. Reverse Extensor Digitorum Longus muscle flap trabsfer up 3 cases showed good results and it could be expected good method in moderate to large sezed defects of distal third & middle third of tibia, ankle. nkle.
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KEYWORD
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