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J Trauma Inj : Journal of Trauma and Injury



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Case Reports
Free Flap Reconstruction in Patients with Traumatic Injury of the Forefoot
Shin Hyuk Kang, Jeongseok Oh, Seok Chan Eun
J Trauma Inj. 2019;32(3):187-193.   Published online September 30, 2019
  • 5,430 View
  • 60 Download
  • 1 Citations
AbstractAbstract PDF

Many techniques have been developed for reconstruction of the hand; however, less attention has been paid to foot reconstruction techniques. In particular, reconstruction of the forefoot and big toe has been considered a minor procedure despite the importance of these body parts for standing and walking. Most of the weight load on the foot is concentrated on the forefoot and big toe, whereas the other toes have a minor role in weight bearing. Moreover, the forefoot and big toe are important for maintaining balance and supporting the body when changing directions. Recently, attention has been focused on the aesthetic appearance and functional aspects of the body, which are important considerations in the field of reconstructive surgery. In patients for whom flap reconstruction in the forefoot and big toe is planned, clinicians should pay close attention to flap survival as well as functional and cosmetic outcomes of surgery. In particular, it is important to assess the ability of the flap to withstand functional weight bearing and maintain sufficient durability under shearing force. Recovery of protective sensation in the forefoot area can reduce the risk of flap loss and promote rapid rehabilitation and functional recovery. Here, we report our experience with two cases of successful reconstruction of the forefoot and big toe with a sensate anterolateral thigh flap, with a review of the relevant literature.



Citations to this article as recorded by  
  • Functional Reconstruction of Arches of the Foot With Vascularized Fibula Flap
    Fatih Zor, Yalcin Bayram, Yalcin Kulahci
    Annals of Plastic Surgery.2023; 91(5): 571.     CrossRef
Bilateral Free 2nd Toe Pulp Flap for Reconstruction of Soft Tissue Defect in Traumatic Finger Injuries
Jeongseok Oh, Seok Chan Eun
J Trauma Inj. 2019;32(3):181-186.   Published online September 30, 2019
  • 3,505 View
  • 62 Download
AbstractAbstract PDF

Finger reconstruction involves paramount significance of both functional and aesthetic aspects, due to its great impact on quality of life. The options range from primary closure, skin grafts, local flaps, pedicled flaps, and free flaps. The optimal method should consider various circumstances of the patient and surgeon. We would like to report a case of a young woman who initially presented with cellulitis and necrosis of the left second finger-tip who underwent reconstruction with bilateral toe pulp free flap. The patient could successfully return to her job that involves keyboard typing and playing the piano, with acceptable donor site morbidity.

The Reality of Child Abuse in Korea
Kyuwhan Jung, Ho Seong Han, Do Joong Park, Seok Chan Eun
J Trauma Inj. 2012;25(4):283-286.
  • 1,110 View
  • 6 Download
AbstractAbstract PDF
A trauma surgeon is always concerned about child abuse when he or she meets injured children. Abused children will be neglected if trauma surgeons only concentrate on the injured site or physical dynamics. Lately, violence on children has increased in Korea. Therefore, in this study, we considered child abuse through a review of the literatures. An eleven-year-old boy visited the emergency room vomiting with abdominal distension. He had been kicked in the abdomen by his step-mother 10 days earlier. The computed tomography revealed a transected pancreas tail and neck with a large pesudocyst (Fig. 1) and laboratory findings showed an elevated amylase level of more than 6,500 IU/L. Because he complained of severe pain with rebound tenderness on the whole abdomen, he underwent an emergent laparotomy, a distal pancreatectomy of the tail portion with an anti-leakage procedure on the cut surface of the pancreas. However, he underwent a distal pancreatectomy again on the neck portion of the pancreas because of a continuing pseudocyst with severe pain that could not be controlled with conservative managements. After that, his symptoms were improved and he returned to his daily life.

J Trauma Inj : Journal of Trauma and Injury