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KMID : 0603120150240020079
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Journal of the Korean Microsurgical Society
2015 Volume.24 No. 2 p.79 ~ p.81
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Using the Dorsal Metacarpal Artery Perforator Flap for Reconstruction of Rheumatoid Ulcers
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Choi Min
Son Kyung-Min
Choi Woo-Young
Cheon Ji-Seon
Yang Jeong-Yeol
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Abstract
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Rheumatoid arthritis is a long lasting autoimmune disorder that primarily affects joints, and patients with rheumatoid arthritis are predisposed to development of chronic skin ulcers. In addition, skin ulcers with rheumatoid arthritis tend to persist despite treatment because of sustained inflammation and poor healing capacity. Treatment of skin ulcers involves medications, wound coating agents, and surgical procedures including skin grafting, however, wound dressing or skin grafts are generally excluded because of excessive cost and time and poor intake rate. The dorsal metacarpal artery perforator (DMAP) flap, a vascular island flap for coverage of soft tissue defects on the fingers, provides promising results including matched quality and color. We experienced a case of DMAP flap for reconstruction of a rheumatoid ulcer, and a DMAP flap may be considered as a good faithful option for treatment of patients with rheumatoid ulcer.
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KEYWORD
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Dorsal metacarpal artery perforator flap, Rheumatoid ulcer
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