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KMID : 0603120000090010075
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Journal of the Korean Microsurgical Society
2000 Volume.9 No. 1 p.75 ~ p.79
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Vascularized Osteocutaneous Fibular free Flap for Reconstruction of Mid Foot
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정윤규/Yoon Kyu Chung
홍준표/김석원/김은기/Joon Pio Hong/Sug Won Kim
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Abstract
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The foot plays a vital role in standing and gait. This function results from harmonious interaction of bones, joints, and soft tissue. An imbalance or a defect in such structures can lead to impaired function of the foot. The mid foot, composed of cunieforms, navicular and cuboid bone, plays a vital role in maintaining longitudinal and transverse arches and injury or defects to this region can cause instability of the foot. This paper reports a case of complex foot injury; soft tissue defect of dorsum of foot, and medial and intermediate cuneiform bone defect, reconstructed in a single stage using vascularized osteocutaneous fibular free flap. Segmented to fit the defects of medial and intermediate cuneiform bones and a skin paddle providing adequate coverage, restored the stability to the arches and function of the midfoot. The fibula osteocutaneous free flap has appealing characteristics for reconstruction of the foot and the complex mid foot injuries can be considered to the long list of indications.
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KEYWORD
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Complex foot injuries, Vascularized fibular free flap, Cunieform bone defect,
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