원위기저 도서형 천비복동맥 근막피판으로 하지 재건 시 과급정맥문합의 이용
- Alternative Title
- Reconstruction of the Soft Tissue Defect of the Lower Leg by Distally Based Superficial Sural Artery Fasciocutaneous Island Flap Using Supercharged Vein
- Abstract
- Purpose: Distally based superficial sural artery island flap has some disadvantages such as postoperative flap edema, congestion, and partial necrosis of the flap margin. Venous congestion is an area of considerable concern in distally based superficial sural artery fasciocutaneous flap and is one of the main reasons for failure, particularly when a large flap is needed. However, we could decrease these disadvantages by means of venous superdrainage. Methods: From June of 2006 to June of 2007, a total of two patients with soft tissue defects of lower one third of the leg underwent venous supercharging distally based superficial sural artery island flap transfer. The distal pivot point of this flap was designed at septocutaneous perforator from the peroneal artery of the posterolateral septum, which was 5 cm above the tip of the lateral malleolus. Briefly, this technique is performed by anastomosing the proximal end of the lesser saphenous vein and collateral vein to any vein in the area of the recipient defect site. Results: No venous congestion was noted in any of the two cases. No other recipient or donor-site complications were observed, except for minor wound dehiscence in one case. In 3 to 6 months follow-up, patients had minor complaints about lack of sensation in the lateral dorsal foot. Conclusion: The peroneal artery perforator is predictable and reliable for the design of a distally based superficial sural artery island flap. Elevation of the venous supercharging flap is safe, easy, and less time consuming. In conclusion, the venous supercharging distally based superficial sural artery island flap offers an alterative to free tissue transfer for reconstruction of the lower extremity.
- All Author(s)
- 하영인
; 최환준
; 최창용
; 김용배
- Issued Date
- 2008
- Type
- Article
- Keyword
- Distally based superficial sural artery flap; Venous supercharging; Fasciocutaneous flap; Island flap; Distally based sural flap
- Publisher
- 대한성형외과학회
- ISSN
- 1015-6402
; 2234-6163
- Citation Title
- 대한성형외과학회지
Journal of the Korean Society of Plastic and Reconstructive Surgeons
- Citation Volume
- 35
- Citation Number
- 2
- Citation Start Page
- 208
- Citation End Page
- 213
- Language(ISO)
- kor
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/507
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