Management of the Diabetic Foot Ulcer in Elderly Patients Using the Anterolateral Thigh Perforator Free Flap / 대한족부족관절학회지
Journal of Korean Foot and Ankle Society
;
: 59-65, 2008.
Article
Dans Coréen
| WPRIM
| ID: wpr-105904
ABSTRACT
PURPOSE:
To evaluate the results of anterolateral thigh perforator free flap for reconstruction of foot and ankle in old diabetic patients. MATERIALS ANDMETHODS:
Fifteen diabetic foot ulcer patients over the age of 55 were operated with anterolateral thigh perforator free flap. Hematological, hemodynamic, diabetic, bacteriologic and radiologic tests were checked with examination of blood vessel state in both the donor site and the recipient site. After surgery, serial check-up was performed at 6 week, 6 month, and 1 year postoperatively on the survival of transplantation tissue, condition of foot, and condition of walking.RESULTS:
There are one case of transplantation failure and four cases of partial tissue-necrosis. Delayed wound-healing was observed both recipient and donor tissue sites. At the final follow up, three cases of small ulcer were found at junction of flap and recipient tissue in plantar area. Fourteen out of fifteen patients could walk without any brace or walking aids.CONCLUSION:
Reconstruction of foot and ankle region in old diabetic patients with the anterolateral thigh perforator free flap is a useful method which can prevent the amputation of foot and ankle
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Cuisse
/
Donneurs de tissus
/
Ulcère
/
Vaisseaux sanguins
/
Orthèses de maintien
/
Études de suivi
/
Marche à pied
/
Pied diabétique
/
Transplants
/
Lambeaux tissulaires libres
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Animaux
/
Humains
langue:
Coréen
Texte intégral:
Journal of Korean Foot and Ankle Society
Année:
2008
Type:
Article
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