수지 압궤 손상 후 조직 결손의 재건을 위한 유리 피판술 = Free Flaps for Reconstruction of Soft Tissue Defects Following Crushing Injury to Fingers

다국어 초록 (Multilingual Abstract)

Purpose: The crushing injury is one of the most severe type injuries in the finger. For the reconstruction of fingers with crushed and devitalized tissue, various surgical methods have been attempted to cover the soft tissue defects.
We performed free flaps for finger reconstruction and investigated the results.
Materials and Methods: Between March 2010 and July 2011, we retrospectively reviewed 14 patients who had soft tissue defects of fingers after severe crushing injuries. There were 8 pulp losses, 4 dorsal skin losses with bony exposure,1 nail complex loss, and 1 total loss of distal phalanx. In all cases, soft tissue defects in fingers were reconstructed with a free flap.
Results: All flaps survived successfully. We could reserve the functional length without additional necrosis and amputation. Reconstructed fingers were returned to normal activity in a short time and the atrophy or deformity was not observed.
Conclusion: Free flap transfer for the reconstruction of the finger defect after crushing injury is useful for the functional recovery and cosmesis.

국문 초록 (Abstract)

목적: 수지의 심각한 압궤 손상은 수지에 발생한 손상 중 가장 심한 형태의 손상으로이로 인해 손실된 조직을 재건하기 위하여 여러 가지 수술적 방법들이 시도되고 있다. 본 연구에서는 유리 피판술을 시행하였으며 결과를 분석하였다.
대상 및 방법: 2010년 3월부터 2011년 4월에 걸쳐 심각한 압궤 손상 후 발생한 수지의 조직 결손에 대하여 치료받은 14명의 환자를 후향적으로 조사하였다. 결손 유형은수질부 결손이 8예, 골노출이 동반된 배부 피부 결손이 4예, 조갑 복합체 결손이 1예,원위지절 전체 결손이 1예이었다. 모든 환자에게 유리 피판술을 이용한 재건을 시행하였다.
결과: 모든 피판은 성공적으로 생존하였고 추가 괴사나 절단 없이 기능적 길이 보존이 가능하였다. 모든 환자가 단기간 내에 일상으로의 복귀가 가능하였으며 위축이나변형이 관찰되지 않았다.
결론: 압궤 손상으로 발생한 수지 조직 결손에 있어서 유리 피판술은 기능적으로나미용적으로 우수한 결과를 기대할 수 있는 유용한 방법이다.

참고문헌 (Reference)

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