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KMID : 1143020180230020121
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Archives of Hand and Microsurgery
2018 Volume.23 No. 2 p.121 ~ p.125
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An Iatrogenic Flap Necrosis Case: Factors to Consider for Successful Flap Elevation
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Ha Non-Hyeon
Lee Il-Jae
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Abstract
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The free flap technique has been used for lower limb reconstruction. Still, the free flap itself and related surgical procedures are challenging process, because there's a lot of factors to consider for successful outcome. We report a case of total flap necrosis due to inadequate flap elevation on the left ankle of a young man. Although the shape of the elevated flap was not fit into rectangular shape exactly, the length to width ratio of the flap was almost 2.25:1. The circulation to the tissue was not enough to flap survival, due to inadequate incision. To prevent flap mismanagement, all the surgical procedure should be performed based on a thorough understanding of flap related knowledge, such as length-width ratio restriction of elevated flap, angiosome and proper surgical incision. Also we recommend swell-timed consultation with surgeons trained in microsurgery for guidance regarding flap evaluation and its subsequent management.
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KEYWORD
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Free flaps, Microsurgery, Lower extremity, Angiosome
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FullTexts / Linksout information
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Listed journal information
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