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开放性感染跟腱损伤——阔筋膜移植重建跟腱及腓肠神经营养血管逆行皮瓣覆盖软组织。

Open infected Achilles tendon injury--reconstruction of tendon with fascia lata graft and soft tissue cover with a reverse flow sural flap.

机构信息

Department of Orthopaedics Unit III, Christian Medical College, Vellore, India.

出版信息

Foot Ankle Surg. 2008;14(2):96-9. doi: 10.1016/j.fas.2007.11.002. Epub 2007 Dec 27.

Abstract

We present a patient with an open, infected Achilles tendon injury with a soft tissue defect of 12 cm x 5 cm and a tendon defect of 10 cm. He underwent a two-stage procedure. A first stage debridement of tendon and soft tissue was followed by a second stage tendo Achilles reconstruction using fascia lata graft and soft tissue cover with a reverse flow sural flap. He had a good functional outcome with minimal donor site morbidity.

摘要

我们介绍了一位患者,他患有开放性、感染性跟腱损伤,伴有 12cm x 5cm 的软组织缺损和 10cm 的肌腱缺损。他接受了两阶段手术。第一阶段进行了肌腱和软组织清创,随后第二阶段使用阔筋膜移植物和逆行腓肠外侧皮瓣进行跟腱重建和软组织覆盖。他的功能恢复良好,供区并发症极少。

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