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J Trauma Inj : Journal of Trauma and Injury

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Case Reports
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
DOI: https://doi.org/10.20408/jti.2019.014
  • 3,501 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.

Summary
Reconstruction of a Large Infected Midline Abdominal Wall Defect Using a Latissimus Dorsi Free Flap
Han Gyu Cha, Eun Key Kim, Suk-Kyung Hong
J Trauma Inj. 2018;31(2):91-95.   Published online August 31, 2018
DOI: https://doi.org/10.20408/jti.2018.31.2.91
  • 3,780 View
  • 59 Download
AbstractAbstract PDF

Managing large infected midline abdominal defects are clinically challenging and technically demanding. The alloplastic materials, regional flaps, and component separation are usually infeasible because of the size, location, depth, and state of the defects. In these cases, the free flap is the only option with a large well-vascularized tissue that is free to inset regardless of the location. Herein, we report a case of 44-year-old man with a large infected midline abdominal wall defect who was completely treated with a latissimus dorsi myocutaeous free flap followed by negative pressure wound therapy.

Summary
Original Article
Reconstruction of Soft Tissue Defect with Free Flap in Pediatric Patients
Jin Woo Song, Joon Pio Hong
J Korean Soc Traumatol. 2010;23(2):157-162.
  • 1,055 View
  • 3 Download
AbstractAbstract PDF
PURPOSE
Free flap reconstruction in the pediatric population is difficult. However, microsurgery has had remarkable success rates in children. The aim of study is to present our clinical experience using free flap for reconstruction of soft tissue defects in children and to describe long-term follow-up results.
METHODS
Between June 2002 and July 2010, 30 cases of pediatric reconstruction were performed with free flap. The authors analyzed several items, such as the kind of flap, associated complications, and growth problems.
RESULTS
Among the 30 cases, 21 cases were due to traffic accidents, 5 to cancer, and 4 to falls and other soft tissue defects. The lower leg and foot were the most common sites of the lesion. In the free flap operations we have done, 20 cases involved an anterolateral thigh perforator free flap, 6 a superficial circumflex iliac perforator free flap, and 4 an upper medial thigh perforator free flap. In early postoperative complications, partial necrosis was seen in 2 cases, infection in 1 case, and the hematoma in 1 case. A satisfactory success rate and functional results were achieved.
CONCLUSION
Free flap reconstruction in children allows satisfactory function with no significant effect on growth. Free flaps are regarded as the primary choice for selective pediatric reconstructive cases.
Summary

J Trauma Inj : Journal of Trauma and Injury