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함동길(Donggil Hahm),임문섭(Moonsup Lim),최신권(Sin Kwon Choi),이충원(Choongwon Lee),황연수(Younsoo Hwang) 대한정형외과학회 2005 대한정형외과학회지 Vol.40 No.3
연쇄상 구균에 의한 근염은 그룹 A 연쇄상 구균에 의해 발생되는 아주 드문 질환이라고 보고되어 있다. 이 그룹A에 의한 감염은 빠르고 광범위하게 근육 속으로 진행되어 부종과 괴사를 형성하며, 그 결과로 인한 독성쇼크증후군은 사망률이 아주 높다고 알려져 있다. 저자들은 아무런 선행 증상이나 과거력 없이 하퇴부에 갑자기 발생한 심한 동통과 압통 그리고 고열을 주소로 응급실 내원하여 적극적으로 치료 하였으나 독성 쇽 증후로 내원 7일만에 사망한 42세 여자 환자의 경우를 보고하고자 한다. Streptococcal myositis is an extremely uncommon infectious disease that is caused by Group A Streptococcus (GAS). A GAS infection spreads rapidly and diffusely through the muscle, resulting in edema and necrosis. This can lead to streptococcal toxic shock syndrome with an extremely high mortality. We report a 42 year-old female patient with Streptococcal myositis accompanying with systemic lupus erythematosus who initially presented with fever, severe pain, and tenderness on the calf without any prodromal symptom of myositis. Despite the aggressive management, her general symptoms were aggravated and she died 7 days later as result of the toxic shock syndrome.
김용진,함동길,Kim, Yong-Jin,Hahm, Dong-Gil 대한미세수술학회 2012 Archives of reconstructive microsurgery Vol.21 No.1
Various soft tissue defects can be occurred in the hand. In determining the most suitable means of reconstruction a defect, the benefit of the reconstruction has to outweigh the risk of donor morbidity. Flap selection will be based on the size of the defect, the requirements for sensibility, the surgeon's comfort level, and the patient profile such as gender, age, or systemic disease. The hand is the most important tactile sensory organ, hence sensory restoration is critical. Neurosensory free flaps can provide sensibility, vascularity, and soft tissue coverage to an injured hand. This paper will discuss free flaps which can be used for soft tissue reconstruction of the hand.
요골 동맥 표재 수장 분지 유리 피판술을 이용한 수지 연부 조직의 재건
김용진,서영석,이상현,함동길,Kim, Yong-Jin,Suh, Young-Suk,Lee, Sang-Hyun,Hahm, Dong-Gil 대한미세수술학회 2012 Archives of reconstructive microsurgery Vol.21 No.1
The radial artery superficial palmar branch free flap is based on the perforators of the superficial palmar branch of the radial artery and its venae comitantes. This flap can be used as a sensible flap including palmar cutaneous branch of the median nerve. Forty radial artery superficial palmar branch free flaps were performed at Centum Institute during October 2010 to December 2011. There were 32 males and 8 females and their mean age were 48 years (range 30 to 66 years). The thumb injured in 13 patients, the index finger in 16 patients, the middle finger in 4 patients, the ring finger in 2 patients, and the little finger in 5 patients. The mean size of the flap was $2.5{\times}3.5$ cm(range $2{\times}2.5$ to $3{\times}7$ cm). The donor site was always closed primarily. The overall survival rate was 90.2 percent. The flaps showed well-padded tissue with glabrous skin. All patients have touch sensation and showed 12 mm two point discrimination in an average(range 8 to 15 mm). Donor site morbidity was conspicuous. One patient showed unsightly scar. Early postoperative range of motion of the affected thumb showed slightly limited radial and palmar abduction. But it improved after postoperative 2 months, and patients did not complaint limitation of motion. In conclusion, the radial artery superficial palmar branch free flap can be used as an option for soft tissue reconstruction of finger defects where local or island flaps are unsuitable.