CAJ | 학술논문

目的：探讨带髂胫束的逆行股前外侧皮瓣修复髌前复合组织缺损并重建髌韧带的效果。方法对2007年3月—2011年8月收治的髌前软组织并髌骨缺损的16例患者，采用带髂胫束的逆行股前外侧皮瓣移植修复并重建髌韧带，皮瓣切取范围7.5 cm×10.5 cm～8.5 cm×13.5 cm，髂胫束切取长度7.0～13.0 cm，宽度5.0～7.0 cm，随访时间6个月～3年。结果16例患者皮瓣均成活，优9例，良5例，可2例。结论带髂胫束的逆行股前外侧皮瓣修复髌前复合组织缺损并重建髌韧带的方法是修复髌前软组织并髌骨缺损的一种有效术式。
목적：탐토대가경속적역행고전외측피판수복빈전복합조직결손병중건빈인대적효과。방법대2007년3월—2011년8월수치적빈전연조직병빈골결손적16례환자，채용대가경속적역행고전외측피판이식수복병중건빈인대，피판절취범위7.5 cm×10.5 cm～8.5 cm×13.5 cm，가경속절취장도7.0～13.0 cm，관도5.0～7.0 cm，수방시간6개월～3년。결과16례환자피판균성활，우9례，량5례，가2례。결론대가경속적역행고전외측피판수복빈전복합조직결손병중건빈인대적방법시수복빈전연조직병빈골결손적일충유효술식。
Objective To discuss the effect of retrograde anterolateral thigh flap with iliotibial band to repaire prepatellar compound tissue defects and reconstruct patellofemaral ligament. Methods From March 2007 to August 2011, 16 patients of prepatellar compound tissue defects were covered in this study. All the patients were repaired and patellofemaral ligament were reconstructed by retrograde anterolateral thigh flap with iliotibial band. The flaps ranged from 7.5 cm×10.5 cm to 8.5 cm×13.5 cm, the length of iliotibial band was from 7 cm to 13 cm and the width was from 5 cm to 7 cm. All patients were followed-up from 0.5 year to 3 years. Results All the flaps survived, 9 cases completely survived, 5 cases mostly survived, 2 cases partly survived. Conclusion Retrograde anterolateral thigh flap with iliotibial band is an effective operation to repair prepatellar compound tissue defects and reconstruct patellofemaral ligament.