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Arch Hand Microsurg > Volume 20(2); 2011 > Article
Journal of the Korean Society for Surgery of the Hand 2011;20(2):108-112.
Published online November 30, 2011.
DOI: https://doi.org/10.12790/jkssh.2011.20.2.108   
Gracilis Muscle Free Flap Transplantation Followed Up Over 10 Years
Chang Eun Yu, M.D.*, Ki Tae Park M.D., Jun-Mo Lee, M.D.
1Department of Orthopedic Surgery, Presbyterian Medical Center, Jeonju, Korea.
2Department of Orthopedic Surgery, Chonbuk National University Medical School, and Research Institute of Clinical Medicine, Chonbuk National University, Jeonju, Korea. junmolee@jbnu.ac.kr
10년 이상 추시된 박 근 유리 판 이식술
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Purpose: Gracilis muscle free flap transplantation is chosen in the medium sized soft tissue defect and bone exposure from trauma and chronic osteomyelitis in the lower extremity. We set a study to search for gracilis free flaps to know whether symptoms were cured or recurred in patients that have passed over 10 years from flap transplantation.
Materials and Methods: From August 1995 through September 2010, we have performed 28 cases of gracilis muscle free flap in the lower extremities. Ever since no case visited to demand any discomfort, breakdown or recurrence in the flap site on outpatient basis. We made a telephone call to patients or relatives documented in the medical record and only 2 cases visited outpatient department and 9 cases postponed the visit who satisfied with the final result but 17 cases had wrong telephone numbers. Causes, area of lower extremity, recipient vessels in the lower extremity, condition of the donor thigh and overall satisfaction of the flap transplantation in activities of daily living were investigated and written down in the medical record.
Results: 11 cases were reviewed after average postoperative 13.7 years. Gracilis muscle flaps were not break down at the recipient site in all cases. The wound of donor thigh wound healed good and overall activities of daily living was satisfied in all cases.
Conclusion: Gracilis muscle flaps which had performed and followed up average 13.7 years revealed confident in the medium sized soft tissue defect and bone exposure from trauma and chronic osteomyelitis in the lower extremity.
Key Words: Soft tissue defect and bone exposure, Gracilis muscle free flap transplantation

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