The Experts below are selected from a list of 336 Experts worldwide ranked by ideXlab platform
Young Ho Lee - One of the best experts on this subject based on the ideXlab platform.
-
lateral calcaneal artery Adipofascial Flap for reconstruction of the posterior heel of the foot
Clinics in Orthopedic Surgery, 2009Co-Authors: Moon Sang Chung, Goo Hyun Baek, Hyun Sik Gong, Seung Hwan Rhee, Min Bum Kim, Kyung Hag Lee, Tae Woo Kim, Young Ho LeeAbstract:Background: Soft tissue defects of the posterior heel of the foot present difficult reconstructive problems. This paper reports the authors’ early experience of five patients treated with a lateral calcaneal artery Adipofascial Flap. Methods: Between 2003 and 2007, five patients (3 males and 2 females) with soft-tissue defects over the posterior heel underwent a reconstruction using a lateral calcaneal artery Adipofascial Flap and a full-thickness skin graft. The Flap sizes ranged from 3.5 × 2.5 cm to 5.5 × 4.0 cm. Results: All five Flaps survived completely with no subsequent breakdown of the grafted skin, even after regularly wearing normal shoes. The Adipofascial Flap donor sites were closed primarily in all patients. Conclusions: Lateral calcaneal artery Adipofascial Flaps should be included in the surgical armamentarium to cover difficult wounds of the posterior heel of the foot. These Flaps do not require the sacrifice of a major artery to the leg or foot, they are relatively thin with minimal morbidity at the donor site, and leave a simple linear scar over the lateral aspect of the foot.
-
distally based lateral supramalleolar Adipofascial Flap for reconstruction of the dorsum of the foot and ankle
Plastic and Reconstructive Surgery, 2004Co-Authors: Young Ho Lee, Moon Sang Chung, Soo Kyoon Rah, Soo Joong Choi, Goo Hyun BaekAbstract:Soft-tissue reconstruction of the dorsum of the foot and ankle has long been a challenge for reconstructive surgeons. Limitations in the available local tissue and donor-site morbidity restrict the options. In an effort to solve these difficult problems, the authors have begun to use a distally based lateral supramalleolar Adipofascial Flap. This report presents the authors' early experience with seven patients treated with this Flap. The patients' ages ranged from 5 to 26 years; four of the patients were male and three were female. The cause of the soft-tissue defects involved acute trauma and chronic scar contracture. The Flap and the adjoining raw area were covered with a full-thickness skin graft, and the donor site at the lateral aspect of the leg was closed primarily without grafting. A skin graft was taken from the groin area, which was closed primarily. Compared with the other Flaps, this Adipofascial Flap was thinner and produced less bulkiness to the recipient site and minor aesthetic sequelae to the donor site. It is believed that this Flap is versatile and effective and is a good addition to the available techniques used by reconstructive surgeons for coverage of the dorsum of the foot and ankle.
Dukewhan Chung - One of the best experts on this subject based on the ideXlab platform.
-
pedicled chimeric gastrocnemius medial sural artery Adipofascial Flap for reconstruction of anterolateral defects of the knee
Microsurgery, 2017Co-Authors: Young Joo Cho, Jae Hoon Lee, Dukewhan ChungAbstract:A medial gastrocnemius muscle Flap is useful for soft tissue reconstruction of the knee and proximal tibia but insufficient to cover defects involving the lateral aspect of the knee. The purpose of this report is to present the results of the use of a pedicled chimeric gastrocnemius-medial sural artery Adipofascial Flap for reconstruction of defects of the knee and lateral aspect of the knee. Six patients underwent soft tissue reconstruction of the knee by means of the described procedure. Patients included one female and five males. The mean age of the patients was 48 years. The cause of soft tissue defects was open fractures in three cases and infection in three cases. The mean size of soft tissue defects was 9.3 × 7 cm (range: 6 × 3 to 18 × 14 cm), and the mean size of Adipofascial components was 6.8 × 3.8 cm (range: 6 × 3 to 10 × 6 cm). Medial knee defects were covered by the medial gastrocnemius muscle component and lateral knee defects were covered by the medial sural artery Adipofascial component. All Flaps survived in the six cases. Soft tissue reconstruction and infection control were successful without any additional surgical procedures. A pedicled chimeric gastrocnemius-medial sural artery Adipofascial Flap may be considered effective for soft tissue reconstruction of the knee as it reduces scars at the donor site and reconstructs the lateral knee defects not covered by the medial gastrocnemius muscle Flap. © 2015 Wiley Periodicals, Inc. Microsurgery 37:206-211, 2017.
-
reverse lateral supramalleolar Adipofascial Flap and skin grafting for one stage soft tissue reconstruction of foot and ankle joint
Microsurgery, 2010Co-Authors: Jae Hoon Lee, Dukewhan ChungAbstract:The aim of this report is to present the clinical result and efficacy of reverse lateral supramalleolar Adipofascial Flap and skin grafting for one stage soft tissue reconstruction of the foot and ankle joints. Reconstruction using a reverse lateral supramalleolar Adipofascial Flap and skin grafting was performed in eight cases between January 2005 and March 2009. All the subjects were male with a mean age of 53 years. The mean follow-up period was 20 months. The reasons for soft tissue defects were diabetic foot, infected bursitis, open injuries of the foot, and chronic osteomyelitis. The mean size of the Flaps was 3.5 (3-4) × 4.5 (4-6) cm. The Flaps were elevated in the form of an Adipofascial Flap and split-thickness skin grafting was performed over the Flaps and adjoining raw areas. Flaps survived in all cases. The implantation of the split-thickness skin graft over the Flap was also successful in all cases. Neither partial necrosis in the Adipofascial Flap nor venous congestion was observed. At the last follow-up, there were no limited motions in the ankle and the toe. No cases complained of inconveniences in ambulation or had difficulties in selecting footwear. In cases that require a Flap for the exposed bone or tendon of the foot with a small-sized defect, reverse lateral supramalleolar Adipofascial Flap and skin grafting is considered a useful method as it lowers the morbidity rate of the donor site and reconstructs soft tissues.
Goo Hyun Baek - One of the best experts on this subject based on the ideXlab platform.
-
lateral calcaneal artery Adipofascial Flap for reconstruction of the posterior heel of the foot
Clinics in Orthopedic Surgery, 2009Co-Authors: Moon Sang Chung, Goo Hyun Baek, Hyun Sik Gong, Seung Hwan Rhee, Min Bum Kim, Kyung Hag Lee, Tae Woo Kim, Young Ho LeeAbstract:Background: Soft tissue defects of the posterior heel of the foot present difficult reconstructive problems. This paper reports the authors’ early experience of five patients treated with a lateral calcaneal artery Adipofascial Flap. Methods: Between 2003 and 2007, five patients (3 males and 2 females) with soft-tissue defects over the posterior heel underwent a reconstruction using a lateral calcaneal artery Adipofascial Flap and a full-thickness skin graft. The Flap sizes ranged from 3.5 × 2.5 cm to 5.5 × 4.0 cm. Results: All five Flaps survived completely with no subsequent breakdown of the grafted skin, even after regularly wearing normal shoes. The Adipofascial Flap donor sites were closed primarily in all patients. Conclusions: Lateral calcaneal artery Adipofascial Flaps should be included in the surgical armamentarium to cover difficult wounds of the posterior heel of the foot. These Flaps do not require the sacrifice of a major artery to the leg or foot, they are relatively thin with minimal morbidity at the donor site, and leave a simple linear scar over the lateral aspect of the foot.
-
distally based lateral supramalleolar Adipofascial Flap for reconstruction of the dorsum of the foot and ankle
Plastic and Reconstructive Surgery, 2004Co-Authors: Young Ho Lee, Moon Sang Chung, Soo Kyoon Rah, Soo Joong Choi, Goo Hyun BaekAbstract:Soft-tissue reconstruction of the dorsum of the foot and ankle has long been a challenge for reconstructive surgeons. Limitations in the available local tissue and donor-site morbidity restrict the options. In an effort to solve these difficult problems, the authors have begun to use a distally based lateral supramalleolar Adipofascial Flap. This report presents the authors' early experience with seven patients treated with this Flap. The patients' ages ranged from 5 to 26 years; four of the patients were male and three were female. The cause of the soft-tissue defects involved acute trauma and chronic scar contracture. The Flap and the adjoining raw area were covered with a full-thickness skin graft, and the donor site at the lateral aspect of the leg was closed primarily without grafting. A skin graft was taken from the groin area, which was closed primarily. Compared with the other Flaps, this Adipofascial Flap was thinner and produced less bulkiness to the recipient site and minor aesthetic sequelae to the donor site. It is believed that this Flap is versatile and effective and is a good addition to the available techniques used by reconstructive surgeons for coverage of the dorsum of the foot and ankle.
Sindaw Lin - One of the best experts on this subject based on the ideXlab platform.
-
the distally based lateral Adipofascial Flap
British Journal of Plastic Surgery, 1998Co-Authors: Sindaw Lin, Chihkang Chou, Tsaiming Lin, Hongjen Wang, Chungsheng LaiAbstract:The distally based lateral Adipofascial Flap can be based either on the lowermost perforator or the anterior perforating branch of the peroneal artery avoiding sacrifice of the main peroneal artery. It has been used successfully to resurface soft tissue defects either on the lateral or medial aspect of the lower third of the leg in 13 cases. The size of these Flaps varied from 2.0 cm x 5.0 cm to 4.5 cm x 15.0 cm in size. These cases had minimal donor site morbidity and had positive aesthetic results. The advantages were: 1. Choice of either the lowermost perforator or the anterior perforating branch giving a wide arc of rotation; 2. Preservation of the superficial peroneal nerve; 3. Primary closure of the donor site.
-
endoscopically assisted Adipofascial Flap harvest for soft tissue defects of the lower leg
British Journal of Plastic Surgery, 1998Co-Authors: Sindaw Lin, Chihkang Chou, Hongjen Wang, Feipeng Kung, Chungsheng LaiAbstract:Five cases of soft tissue defect of the lower leg were reconstructed successfully with the distally based medial Adipofascial Flap which was harvested with endoscopically-assisted surgery. The size of these Flaps ranged from 4.0 x 7.0 cm to 5.0 x 15.0 cm in size. All the Flaps had good perfusion and uneventful course postoperatively. The donor site skin was intact except for an additional access-scar 2.5 cm in length. The donor site morbidity of the Adipofascial Flap was further minimised in this series.
-
the reverse lateral arm Adipofascial Flap for elbow coverage
Annals of Plastic Surgery, 1997Co-Authors: Chungsheng Lai, Chihcheng Tsai, Kuibiau Liao, Sindaw LinAbstract:The reverse lateral arm Adipofascial Flap covered immediately with a skin graft has been used successfully for reconstruction of a cubital fossa defect (caused by avulsion injury) and an exposed olecranon (resulting from recurrent bursitis) in 2 patients. The Flap is nourished by the septal perforators of the posterior radial collateral artery, which in turn obtains its blood supply from the interosseous recurrent artery. The distal vascular pedicle should contain a sufficient amount of subcutaneous fat and its underlying fascia to enhance the arterial input and the venous drainage of the Flap. The primary benefit of this technique is that the thickness of the Flap can be tailored to fit into the defect, and the donor site can be closed primarily without tension. The advantages include satisfactory cosmetic results, a rapid one-stage procedure, no sacrifice of the main artery or local muscle, and avoidance of any long-term immobilization of the involved elbow joint.
-
Adipofascial Flap of the lower leg based on the saphenous artery
British Journal of Plastic Surgery, 1996Co-Authors: Sindaw Lin, Chaosung Lai, Y T Chiu, Tsaiming Lin, Chungchuan ChouAbstract:The Adipofascial Flap of the lower leg based on the saphenous artery is a modification of the saphenous artery Flap. It has been used successfully in 5 patients for reconstruction of soft tissue defects around the knee and superior third of the tibia. The size of these Flaps ranged from 5 x 12 cm to 5 x 18 cm. All Flaps survived completely. These cases had minimal donor site morbidity because their donor sites were closed primarily with the preserved overlying skin.
-
reconstruction of soft tissue defects of the lower leg with the distally based medial Adipofascial Flap
British Journal of Plastic Surgery, 1994Co-Authors: Sindaw Lin, Chungsheng Lai, Chihkang Chou, Chinwei Tsai, Chincheng TsaiAbstract:A distally based medial Adipofascial Flap, based on the lower perforator originating from the posterior tibial vessels, is described. It has been used successfully to cover tibial bone and/or plate exposure on the lower leg in 5 patients.
Moon Sang Chung - One of the best experts on this subject based on the ideXlab platform.
-
lateral calcaneal artery Adipofascial Flap for reconstruction of the posterior heel of the foot
Clinics in Orthopedic Surgery, 2009Co-Authors: Moon Sang Chung, Goo Hyun Baek, Hyun Sik Gong, Seung Hwan Rhee, Min Bum Kim, Kyung Hag Lee, Tae Woo Kim, Young Ho LeeAbstract:Background: Soft tissue defects of the posterior heel of the foot present difficult reconstructive problems. This paper reports the authors’ early experience of five patients treated with a lateral calcaneal artery Adipofascial Flap. Methods: Between 2003 and 2007, five patients (3 males and 2 females) with soft-tissue defects over the posterior heel underwent a reconstruction using a lateral calcaneal artery Adipofascial Flap and a full-thickness skin graft. The Flap sizes ranged from 3.5 × 2.5 cm to 5.5 × 4.0 cm. Results: All five Flaps survived completely with no subsequent breakdown of the grafted skin, even after regularly wearing normal shoes. The Adipofascial Flap donor sites were closed primarily in all patients. Conclusions: Lateral calcaneal artery Adipofascial Flaps should be included in the surgical armamentarium to cover difficult wounds of the posterior heel of the foot. These Flaps do not require the sacrifice of a major artery to the leg or foot, they are relatively thin with minimal morbidity at the donor site, and leave a simple linear scar over the lateral aspect of the foot.
-
distally based lateral supramalleolar Adipofascial Flap for reconstruction of the dorsum of the foot and ankle
Plastic and Reconstructive Surgery, 2004Co-Authors: Young Ho Lee, Moon Sang Chung, Soo Kyoon Rah, Soo Joong Choi, Goo Hyun BaekAbstract:Soft-tissue reconstruction of the dorsum of the foot and ankle has long been a challenge for reconstructive surgeons. Limitations in the available local tissue and donor-site morbidity restrict the options. In an effort to solve these difficult problems, the authors have begun to use a distally based lateral supramalleolar Adipofascial Flap. This report presents the authors' early experience with seven patients treated with this Flap. The patients' ages ranged from 5 to 26 years; four of the patients were male and three were female. The cause of the soft-tissue defects involved acute trauma and chronic scar contracture. The Flap and the adjoining raw area were covered with a full-thickness skin graft, and the donor site at the lateral aspect of the leg was closed primarily without grafting. A skin graft was taken from the groin area, which was closed primarily. Compared with the other Flaps, this Adipofascial Flap was thinner and produced less bulkiness to the recipient site and minor aesthetic sequelae to the donor site. It is believed that this Flap is versatile and effective and is a good addition to the available techniques used by reconstructive surgeons for coverage of the dorsum of the foot and ankle.