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국회도서관 홈으로 정보검색 소장정보 검색

초록보기

Purpose: The reconstruction of a soft tissue defect of the heel pad can be challenging. One vital issue is the restoration of the ability of the heel to bear the load of the body weight. Many surgeons prefer to use local flaps or free tissue transfer rather than a skin graft. In this study, we evaluated the criteria for choosing a proper flap for heel pad reconstruction. Methods: In this study, 23 cases of heel pad reconstruction were performed by using the flap technique. The etiologies of the heel defects included pressure sores, trauma, or wide excision of a malignant tumor. During the operation, the location, size and depth of the heel pad defect determined which flap was chosen. When the defect size was relatively small and the defect depth was limited to the subcutaneous layer, a local flap was used. A free flap was selected when the defect was so large and deep that almost entire heel pad had to be replaced. Results: There was only one complication of poor graft acceptance, involving partial flap necrosis. This patient experienced complete recovery after debridement of the necrotic tissue and a split thickness skin graft. None of the other transferred tissues had complications. During the follow-up period, the patients were reported satisfactory with both aesthetic and functional results. Conclusion: The heel pad reconstructive method is determined by the size and soft-tissue requirements of the defect. The proper choice of the donor flap allows to achieve satisfactory surgical outcomes in aesthetic and functional viewpoints with fewer complications.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Possibility of local recurrence caused by surgical instruments in the mouse skin cancer model Gook Jin Kim ,Hyoung Suk Lee ,Nam Gyun Kim ,Kyung Suk Lee ,Jun Sik Kim ,Sang Woo Park pp.339-344

Acceleration of wound healing using adipose-derived stem cell therapy with platelet concentrates :platelet-rich plasma(PRP) vs. platelet-rich fibrin(PRF) Hyung Min Hahn ,Yeo Reum Jeon ,Dong Kyun Rha ,Dae Hyun Lew pp.345-350

(The)effect of a topical selective cyclooxygenase-2 inhibitor on skin-wound scarring of the rabbit ear Do Yup Kim ,Jin Hyung Park ,Bong Kwon Chun ,Yea Sik Han pp.351-358

Comparison of silver-containing hydrofiber dressing and hydrophobic dressing for effects on MRSA-infected full thickness skin defect in the rat Hun Joo Lee ,So Ra Kang ,Yang Woo Kim pp.359-368

Experimental assessment of hemostatic agents :comparison with new developed chitosan-based material Young Kyoo Cho ,Sang Yun Lee ,Tae Jung Kim ,Hyun Ju Lim ,Eun Jung Oh ,Soo Bok Lee ,Kang Young Choi ,Jung Dug Yang ,Byung Chae Cho ,Ho Yun Chung pp.369-375

Correction of retracted ala using spacer graft in secondary cleft lip and nose deformity Kyu Seok Han ,Hyun Gon Choi ,Dong Hyeok Shin ,Soon Heum Kim ,Eun A Hwang ,Ki Il Uhm pp.376-382
일측구순열변형에서 이갑개연골이식술을 이용한 상구순 함몰의 교정 한기환 ,윤상호 ,여현정 ,김준형 ,손대구 pp.383-390
Clinical experiences with foreign body granuloma of the nose :7-year experience with 18 patients Tae Hwan Park ,Sang Won Seo ,June-Kyu Kim ,Choong Hyun Chang pp.391-397
Solitary subungual myxoid neurofibroma of the thumb :a case report Bom Mie Seo ,Jin Soo Lim ,Sung No Jung ,Gyeol Yoo ,Jun Hee Byeon pp.398-400

Long-term result of nipple reconstruction using skate flap after breast reconstruction Deok Yeol Kim ,Eun Sang Dhong ,Eul Sik Yoon ,Gil Su Son pp.401-407

유방 실질 조직 Z-성형술을 이용한 유방 하수 교정술 김경필 ,김지훈 ,황재하 ,김광석 ,이삼용 pp.408-414

Various modalities of flap surgery in heel pad reconstruction Yun Ik Jung ,Dong Won Lee ,In Sik Yoon ,Dong Kyun Rah ,Won Jai Lee pp.415-420

Donor site morbidity after sural nerve harvesting for peripheral nerve reconstruction Jung Woo Chang, M. Seung Suk Choi, Jang Hyun Lee, Hee Chang Ahn, Nak Heon Kang pp.421-426

수부 및 족부 동종이식에 대한 위험 승인도와 기대치 조사 이도헌 ,김지훈 ,황재하 ,김광석 ,이삼용 pp.427-437

자가기질혈관분획을 이용한 수지골 결손 환자의 치료 정태원 ,지이화 ,김덕우 ,동은상 ,윤을식 pp.438-444

소아 화상 환자 2,795례에 대한 연령별 임상 통계학적 분석 조기현 ,장영철 ,이종욱 ,고장휴 ,서동국 ,최재구 pp.445-450

지방피부복합조직 이식을 이용한 화상 후 콧방울 결손의 재건 권민주 ,이종욱 ,고장휴 ,서동국 ,최재구 ,장영철 pp.451-457
흡수성 고정판과 나사를 이용한 중수골 골절의 치료 조정목 ,은석찬 ,백롱민 pp.458-464

Telecanthus associated with blepharoptosis Bong Soo Baik ,So Young Ji ,Jae Il Choi ,Jeong Hoon Suhk ,Wan Suk Yang pp.465-471
Lower blepharoplasty :in and out complementary technique Yoon Ju Jeon ,Du Young Rhee ,Ki Il Uhm ,Dong Hyeok Shin ,Soon Heum Kim ,Eun A Hwang ,Chul Gen Kim ,Hyeung Joon Park ,Hyun Gon Choi pp.472-476
Sub-brow resection via relocation of retro-orbicularis oculi fat and preseptal fat unit Jeong Ho Cha ,Sang Min Woo ,Jin Woo Kim ,Jae Hak Jung ,Young Hwan Kim ,Hook Sun pp.477-484
Surgical correction of a median cleft of the upper lip associated with enlarged frenulum and palatal masses Hyung Min Hahn ,Ji Ye Kim ,Hee Joon Min ,Sug Won Kim pp.485-489
Clinical experience of basosquamous cell carcinoma Hyun Sung Kim ,Chul Han Kim pp.490-493
Compression of the superficial radial nerve by schwannoma :a case report Hyun Sung Kim ,Chul Han Kim ,Sang Gue Kang ,Min Seong Tark pp.494-497

Neurilemoma localized in the palmaris longus tendon with no connection to the major nerve trunk Jeong Young Park ,Sung-No Jung ,Won-Il Sohn ,Ho Kwon pp.498-500

Epithelial-myoepithelial carcinoma of the parotid gland :a case report Woo Sik Pae ,Si Gyun Roh ,Nae Ho Lee ,Kyung Moo Yang ,Myoung Jae Kang pp.501-504
(A)case of myxoid liposarcoma of the cheek Jun Ho Yoo ,Si Gyun Roh ,Nae Ho Lee ,Kyoung Moo Yang ,Eun Jung Cha pp.505-507

Blue toe syndrome :a case report Hyun Sung Kim ,Chul Han Kim pp.508-511

머리뼈에 발생한 다발성 뼈종의 치험례 :증례보고 이혁재 ,신명수 ,박보영 ,임소영 ,변재경 ,방사익 ,오갑성 ,문구현 pp.512-515
Multidrug-resistant streptococcus pneumoniae sepsis and meningitis after craniofacial surgery :case report Hyungsuk Kim ,So Young Lim ,Jai Kyong Pyon ,Goo Hyun Mun ,Sa Ik Bang ,Kap Sung Oh pp.516-518
Nontuberculous mycobacterial infection after breast reconstruction with an implant :a case report Hyuck Jae Lee ,Jai Kyong Pyon ,So Young Lim ,Goo Hyun Mun ,Sa Ik Bang ,Kap Sung Oh pp.519-522

(A)case repot[i.e. report] of chronic unhealing wound related to odontogenic cutaneous sinus tract Boh Rham Jeong ,Young Seok Kim ,Jong Won Hong ,Tai Suk Roh ,Dong Kyun Rah pp.523-526
Mastopexy performed in a liver transplantation recipient :a case report Kang Woo Lee ,Taik Jong Lee pp.527-530

Small bowel strangulation after free TRAM breast reconstruction in post-hysterectomy patient :a case report Min Ho Kim ,Ung Sik Jin ,Yujin Myung ,Hak Chang ,Kyung Won Minn pp.531-534

보형물을 이용한 유방성형술을 동반한 역복부성형술의 치험례 배인호 ,이윤호 pp.535-538

HIV 감염 환자에서 유리 횡복직근피부근피판을 이용한 유방재건 수술의 치험례 송정윤 ,김민호 ,장학 ,민경원 pp.539-542
라식수술을 시행한 환자에서 결막절개를 통한 하안검성형술 시 발생한 각막손상 신종인 ,권인오 ,김창연 pp.543-546
Tongue-lip adhesion using an alveolar protector appliance for management of Pierre Robin sequence Jang Won Lee ,Beyoung Yun Park pp.547-551

New tie-over dressing method using hooks and rubber bands Gook Jin Kim ,Youn Jung Lee ,Nam Gyun Kim ,Jun Sik Kim ,Kyung Suk Lee pp.552-554

악간고정용 스크류를 이용한 위턱뼈 이마돌기 골절편의 효과적인 정복 문석호 ,이우성 ,이중호 ,이종원 ,안상태 ,오득영 pp.555-558

참고문헌 (15건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Reconstruction of Heel and Sole Defects by Free Flaps 네이버 미소장
2 Kim DC, Kim SS, Ha DH, Yoo HJ, Lee DH: Reconstruction for the soft tissue defect of heel using free lateral arm neurosensory flap. J Korean Microsurg Soc 8: 15, 1999 미소장
3 Serafin D, Georgiade NG, Smith DH: Comparison of free flaps with pedicled flaps for coverage of defects of the leg or foot. Plast Reconstr Surg 59: 492, 1976 미소장
4 Ponten B: The fasciocutaneous flap: its use in soft tissue defects of the lower leg. Br J Plast Surg 34: 215, 1981 미소장
5 Free flap reconstruction of the foot. 네이버 미소장
6 Lee YJ, Ahn HC, Choi SS, Hwang WJ: Reversed adipofascial flap in lower leg: can it replace the free flap? J Korean Soc Plast Reconstr Surg 32: 100, 2005 미소장
7 Reddy V, Stevenson TR: MOC-PSSM CME Article: lower extremity reconstruction. Plast Reconstr Surg 121: 1, 2008 미소장
8 The Usability of Various Flaps for Hindfoot Reconstruction 소장
9 Sensory Reinnervation in Microsurgical Reconstruction of the Heel 네이버 미소장
10 Comparison between sensitive and nonsensitive free flaps in reconstruction of the heel and plantar area. 네이버 미소장
11 Colen LB, Uroskie T Jr: Foot reconstruction. In Mathes SJ:Plastic surgery. 2nd ed, Philadelphia, Saunders Elsevier, 2006, p 1417 미소장
12 May JW, Halls MJ, Simon SR: Free microvascular muscle flaps with skin graft reconstruction of extensive defects of the foot: a clinical and gait analysis study. Plast Reconstr Surg 75: 627, 1985 미소장
13 Adipofacial Turn-Over Flap for Reconstruction of the Foot and Ankle 소장
14 Reverse sural artery flap for reconstruction of blast injuries of the foot and ankle. 네이버 미소장
15 Heel Reconstruction with a Medial Plantar V-Y Flap 네이버 미소장