Lee, Young-Keun
(Department of Woo & Lee's Institute for Hand Surgery & Reconstructive Microsurgery, W Hospital, Daegu, Korea.)
,
Woo, Sang-Hyun
(Department of Woo & Lee's Institute for Hand Surgery & Reconstructive Microsurgery, W Hospital, Daegu, Korea.)
,
Kim, Joo-Yong
(Department of Woo & Lee's Institute for Hand Surgery & Reconstructive Microsurgery, W Hospital, Daegu, Korea.)
,
Park, Ji-Kang
(Department of Woo & Lee's Institute for Hand Surgery & Reconstructive Microsurgery, W Hospital, Daegu, Korea.)
,
Lee, Hang-Ho
(Department of Woo & Lee's Institute for Hand Surgery & Reconstructive Microsurgery, W Hospital, Daegu, Korea.)
목적: 역행성 도서형 요측 전완부 골피부 피판을 이용한 무지 재건 치료 결과에 대해 보고하고자 한다.
대상 및 방법: 2001년부터 2005년까지 무지 재건을 위해 역행성 도서형 요측 전완부 골피부 피판술로 치료한 5예를 대상으로 하였다. 모두 남자였고, 수술 시 평균 연령은 45세였으며, 무지 결손의 형태, 피판의 크기, 채취된 요골의 길이, 골 유합까지의 시간, 무지의 관절 운동범위, 악력과 집기력, 합병증에 대해 알아보았다.
결과: 피판의 크기는 평균 58.4 ㎠였고 전위된 요골의 길이는 평균 44 ㎝였다. 모든 피판은 생존하였으며, 완전 골유합이 얻어 지기까지의 기간은 평균 2.8개월이었으며, 무지의 관절 운동범위는 평균 47도였다. 술 후 악력은 평균 94 lbs, 집기력은 14.6 lbs였으며, 피판부위 이동 이점 식별력은 평균 13 ㎜였다. 별다른 특이한 합병증은 없었다.
결론: 역행성 도서형 요측 전완부 골피부 피판은 혈관의 미세접합 수술없이 피부 및 뼈의 결손을 동반한 무지 손상에서 1단계로 재건 할 수 있는 유용한 피판으로 사료된다.
목적: 역행성 도서형 요측 전완부 골피부 피판을 이용한 무지 재건 치료 결과에 대해 보고하고자 한다.
대상 및 방법: 2001년부터 2005년까지 무지 재건을 위해 역행성 도서형 요측 전완부 골피부 피판술로 치료한 5예를 대상으로 하였다. 모두 남자였고, 수술 시 평균 연령은 45세였으며, 무지 결손의 형태, 피판의 크기, 채취된 요골의 길이, 골 유합까지의 시간, 무지의 관절 운동범위, 악력과 집기력, 합병증에 대해 알아보았다.
결과: 피판의 크기는 평균 58.4 ㎠였고 전위된 요골의 길이는 평균 44 ㎝였다. 모든 피판은 생존하였으며, 완전 골유합이 얻어 지기까지의 기간은 평균 2.8개월이었으며, 무지의 관절 운동범위는 평균 47도였다. 술 후 악력은 평균 94 lbs, 집기력은 14.6 lbs였으며, 피판부위 이동 이점 식별력은 평균 13 ㎜였다. 별다른 특이한 합병증은 없었다.
결론: 역행성 도서형 요측 전완부 골피부 피판은 혈관의 미세접합 수술없이 피부 및 뼈의 결손을 동반한 무지 손상에서 1단계로 재건 할 수 있는 유용한 피판으로 사료된다.
Purpose: To report the outcome of a reversed osteocutaneous radial forearm flap for a thumb reconstruction. Materials and Methods: Five patients who underwent a reversed osteocutaneous radial forearm island flap for a thumb reconstruction between 2001 and 2005 were reviewed retrospectively. They wer...
Purpose: To report the outcome of a reversed osteocutaneous radial forearm flap for a thumb reconstruction. Materials and Methods: Five patients who underwent a reversed osteocutaneous radial forearm island flap for a thumb reconstruction between 2001 and 2005 were reviewed retrospectively. They were all males with a mean age at the time of surgery of 45 years. The types of thumb defects, size of the flap, length of the radius harvested, time to union, the range of motion of the thumb, grip and pinch strengths, and complications were analyzed. Results: The mean size of the transferred radial forearm flap was 58.4 ㎠. The mean length of the harvested radius was 4.4 ㎝. All flaps survived completely. The mean interval required to obtain bone union was 2.8 months. The mean ROM of the thumb was 47°. The postoperative mean grip strength was 94 Ibs and the mean pinch power was 14.6 Ibs. Mean moving two-point discrimination on the flap was 13 ㎜. There were no complications. All 5 patients were satisfied with the reconstructed new thumb. Conclusion: A reversed osteocutaneous radial forearm island flap is a useful procedure for reconstructing of a combined defect of the thumb.
Purpose: To report the outcome of a reversed osteocutaneous radial forearm flap for a thumb reconstruction. Materials and Methods: Five patients who underwent a reversed osteocutaneous radial forearm island flap for a thumb reconstruction between 2001 and 2005 were reviewed retrospectively. They were all males with a mean age at the time of surgery of 45 years. The types of thumb defects, size of the flap, length of the radius harvested, time to union, the range of motion of the thumb, grip and pinch strengths, and complications were analyzed. Results: The mean size of the transferred radial forearm flap was 58.4 ㎠. The mean length of the harvested radius was 4.4 ㎝. All flaps survived completely. The mean interval required to obtain bone union was 2.8 months. The mean ROM of the thumb was 47°. The postoperative mean grip strength was 94 Ibs and the mean pinch power was 14.6 Ibs. Mean moving two-point discrimination on the flap was 13 ㎜. There were no complications. All 5 patients were satisfied with the reconstructed new thumb. Conclusion: A reversed osteocutaneous radial forearm island flap is a useful procedure for reconstructing of a combined defect of the thumb.
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