CAJ | 학술논문

目的探讨急诊游离移植带1/2趾伸肌腱趾背皮瓣修复复杂指背缺损创面,重建伸指功能的临床疗效.方法 2001年2月至2010年3月,为6例患者急诊行游离移植带1/2趾长伸肌腱的趾背复合组织瓣,修复指背皮肤、肌腱缺损,重建伸指功能,并进行了长期随访观察.结果 6例游离移植趾背复合组织瓣修复指背皮肤、肌腱缺损缺损重建伸指功能,术后皮瓣完全成活,创面一期愈合,经5～10年随访,皮瓣色泽接近正常,质地和外形优良,供受区外形和功能患者满意.结论急诊游离趾背复合组织瓣修复指背缺损,重建伸指功能,经长期随访疗效观察显示,是一种较好的治疗方法.
목적 탐토급진유리이식대1/2지신기건지배피판수복복잡지배결손창면,중건신지공능적림상료효.방법 2001년2월지2010년3월,위6례환자급진행유리이식대1/2지장신기건적지배복합조직판,수복지배피부、기건결손,중건신지공능,병진행료장기수방관찰.결과 6례유리이식지배복합조직판수복지배피부、기건결손결손중건신지공능,술후피판완전성활,창면일기유합,경5～10년수방,피판색택접근정상,질지화외형우량,공수구외형화공능환자만의.결론 급진유리지배복합조직판수복지배결손,중건신지공능,경장기수방료효관찰현시,시일충교호적치료방법.
Objective To report emergency reconstruction of the complex dorsal digital defect using the composite flap with extensor tendon graft from the second toe. Methods From February 2001 to March 2010, 6 fingers in 6 patients with complex dorsal digital defects were repaired using the composite flap. The defect of the extensor tendon was also repaired with the extensor tendon graft harvested from the second toe. Results All the flaps survived completely with primary healing. The patients were followed up for 5 to 10 years. The flaps had a good match in skin color and texture. Both the esthetic and functional results were satisfactory either in recipient or in donor sites. Conclusions The emergency reconstruction of the complex dorsal digital defect using the composite flap with extensor tendon graft is an effective way to repair the skin defect and extensor tendon defect simultaneously with good long-term results.