血管柄付遊離皮膚移植術の1例

抄録

26 year old male was injured in his lower lim by the traffic accident. Then he lost his right lower limb at thigh. In his left foot malunited fracture was seen especially in metatarsal bone. He complained severe pain in his heel on walking. There was hyperkeratotic skin at heel and callosity in the MP joint of big toe. As we could not cover the heel after resecting involved skin by cross leg method, the patient was indicated for vascularized free groin flap.
The operation was done under continuous epidural anesthesia. Operation time was 4 hours 20 minutes. Bllod loss was 120g. 8 days after operation, venous congestion was recognized at the center of the flap, the cause of which we guessed due to smoking, although we said him not to smoke.
2 weeks after operation, all of the flap survived. The callosity of the big toe diminished gradually. He complained no pain in his left foot.