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KMID : 0857020090240020238
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Kosin Medical Journal
2009 Volume.24 No. 2 p.238 ~ p.241
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Free Anterolateral Thigh Flaps for Reconstruction of Skin Defect on Lower Extremity
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Kwon Young-Ho
Jang Su-Jin
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Abstract
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Background : The objective of this study was to evaluate the clinical results of operative treatment on skin defect of lower extremities by free anterolateral thigh flap.
Methods : Between 2005 to 2009 we followed up 10 cases who undergoing anterolateral thigh free flap because of lower extremity skin and soft tissue defect. 3 cases are heel, ankle and foot dorsum are each 2 cases, sole and knee, thigh are each 1 case. We observed that of implanted area's color, peripheral circulation at 3, 5, 7 days after operation and evaluation with operating time, amount of hemorrhage, implanted skin necrosis, additional operation, complications.
Results : 9 cases of 10 showed successful localization and 1 case showed fail. Size of soft tissue defect due to trauma was 9.5 × 7.3cm (5 × 6cm∼13 × 8cm), due to trauma or infection was 18.3 × 11.8cm (13 × 6cm∼30 × 20cm). Skin color change was mainly due to congestion with hematoma, flap was not observed global congestion or necrosis except 2 cases which showed partial necrosis on margin that treated with conservative therapy.
Conclusion : Anterolateral thigh free flap is useful in radical skin defect treatment and had a good results after operation functional reconstruction.
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KEYWORD
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Anterolateral thigh free flap, skin defect of lower extremity, size, complication
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