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KMID : 0358820090360060720
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2009 Volume.36 No. 6 p.720 ~ p.726
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Lower Extremity Reconstruction by Perforator Based Flap
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Oh Chang-Hyun
Park Dae-Hwan
Shim Jeong-Su
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Abstract
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Purpose: Fasciocutaneous flap with random pattern flap has limitation in mobility and length-width ratio. This characteristic is more pronounced in lower extremity which has relatively poor vascularity. Perforator based flap in lower extremity reconstruction has various advantages as an axial flap, allowing abundant blood supply and widening of mobility range. So if it is not a case of wide defect, free flap can be replaced by perforator based flap.
Methods: From April 2007 to March 2009, 18 cases of perforator flap were performed. 8 had defect in upper 1/3 of calf, 6 in middle 1/3, and 4 in lower 1/3. Among 10 cases in which island flap were used, 3 cases had transposition flap, 2 cases used advancement flap, 2 cases had propeller flap, and 1 case had rotation flap.
Results: 17 cases survived without flap necrosis. Partial flap necrosis occurred in 1 case, so secondary split thickness skin graft was done. Chronic wound with pseudomonas infection occurred in 1 case, but it was completely cured with conservative treatment. Received May 23, 2009 Revised June 25, 2009 Accepted October 21, 2009 Address Correspondence: Jeong Su Shim, M.D., Department of Plastic and Reconstructive Surgery, College of Medicine, Catholic University of Daegu, 3056-6 Daemyung 4-dong Namgu, Daegu 705-718, Korea. Tel: 053) 650-4578 / Fax: 053) 650-4584 / E-mail: 21csue@hanmail.net *본 논문은 2008년 제64차 대한성형외과학회 학술대회에서 구연 발표되었음.
Conclusion: Perforator based flap is useful in lower extremity reconstruction because of relative freedom in changing the size and thickness of the flap depending on the recipient site, good mobility, and abundant vascularity. And donor site morbidity can be minimized. Lower extremity reconstruction using perforator based flap is a good method because it can minimize the complication and obtain effective result.
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KEYWORD
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Lower extremity reconstruction, Perforator based flap
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