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Journal of the Korean Society for Surgery of the Hand 2003;8(1):75-80.
Published online June 1, 2003.
Reconstruction of Soft Tissue Defect Caused by Excision of Soft Tissue Tumor of Hand Using Reverse Radial Forearm Flap - Case report -
Chung Soo Han, Dong Jun Shin, Jee Soo Moon, Bi O Jeong
수부 연부조직 종양의 절제 후 발생한 결손의 재건을 위한 역행성 요측 전완 피판술 - 2례 보고 -
한정수, 신동준, 문지수, 정비오
Various free flaps and pedicled island flaps are effective for reconstruction of soft tissue defect developed after tumor excision. We want to know the advantage of pedicled island flap for reconstruction of soft tissue defect caused by excision of soft tissue tumor of hand with review of literature. Materials and Methods: Between 1992 and 2002, we performed 8 pedicled island flap procedure for reconstruction of soft tissue defect developed after soft tissue tumor excision. Among of them, 2 cases were soft tissue tumor of hand. One case was synovial sarcoma and the other was squamous cell carcinoma. The patient was 34-year-old female and the other was 51-year-old male. The size of soft tissue defect after tumor excision were 4 cm ¡¿ 6 cm and 6 cm ¡¿ 9 cm respectively. The procedure that we performed was pedicled reverse radial forearm flap. The analysis for the result of treatment was retrospectively accessed by physical examination and questionnaire for whether the change of symptom after operation, range of adjacent joint motion. Also we reviewed associated complication after operative treatment. Results: In all cases of them, all pedicled island flaps were alive. There was no problem for activity of daily living, no skin necrosis and no limitation of motion of affected joint. Conclusion: Pedicled reverse radial forearm flap procedure is very effective and easy operative procedure for reconstruction of soft tissue defect developed after tumor excision compared to free flap procedure because there is no need for microvascular surgery, we can obtain relatively large flap and the lesion and flap donor site locate in the same upper limb.

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