Papp Christoph, Todoroff Boris P, Windhofer Christian, Gruber Sabine
Department of Plastic and Reconstructive Surgery, Hospital of the Barmherzigen Brüder, Salzburg, Austria.
Plast Reconstr Surg. 2003 Sep;112(3):777-83. doi: 10.1097/01.PRS.0000073975.01321.8B.
Multiple attempts to repair the Achilles tendon can be associated with major soft-tissue defects of skin and tendon necessitating reconstruction with free flaps. In view of its specific anatomical characteristics, the fasciocutaneous infragluteal free flap is best suited for restoring sensibility and achieving nearly full function, including resumption of sporting activities, with minimum donor-site morbidity. The anatomy, dissection technique, and results of 100 percent successful skin and tendon defect reconstruction in seven patients are presented.
多次尝试修复跟腱可能会伴有皮肤和肌腱的严重软组织缺损，需要采用游离皮瓣进行重建。鉴于其特定的解剖学特征，臀下筋膜皮瓣游离皮瓣最适合恢复感觉并实现近乎完全的功能，包括恢复体育活动，且供区并发症最少。本文介绍了7例患者皮肤和肌腱缺损重建100%成功的解剖结构、解剖技术及结果。
