|
KMID : 1143020190240020167
|
|
Archives of Hand and Microsurgery
2019 Volume.24 No. 2 p.167 ~ p.176
|
|
|
Usefulness of Anterolateral Thigh Flap for Severe Trauma Patients at the Regional Trauma Center
|
|
Hong Sung-Min
Kim Yong-Jin
Kwak Sang-Ho
Kim Dong-Hee
Lee Hee-Jin
Rhee Seung-Joon
Ahn Tae-Young
Lee Sang-Hyun
|
|
|
Abstract
|
|
|
Purpose: The purpose of the research is to identify the result of using anterolateral thigh (ALT) flap to multiple trauma patients with open fracture accompanying soft tissue injuries.
Methods: The subjects were 18 patients who visited the regional trauma center with open fracture and treated with the ALT flap from February 2013 to September 2017. According to the injured body regions, there were 7 cases of foot injuries, 5 of lower extremity, 3 of ankle, 2 of hand, and 1 of forearm. The cause of injuries was car accidents in 10 cases including the pedestrian struck in 4 cases.
Results: Except for one case that the patient's flap was lost due to the artery thrombosis, the rest of cases showed that the flap was survived. Average healing time to a bone union was 8.1 months.
Conclusion: During the surgery of the multiple trauma patients with open fracture, no change of patient position is required and no pressure to abdomen or chest was applied. Also, the ALT flap with relatively long pedicle seems to be more useful than other flap surgeries.
|
|
|
KEYWORD
|
|
|
Multiple traumas, Open fracture, Free flaps
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|