采用带跟骨骨块的同种异体跟腱进行腓肠肌筋膜皮瓣移植后跟腱重建。

Achilles tendon reconstruction after sural fasciocutaneous flap using Achilles tendon allograft with attached calcaneal bone block.

作者信息

Hansen Uel, Moniz Melinda, Zubak Joseph, Zambrano Jacinto, Bear Russell

机构信息

William Beaumont Army Medical Center, El Paso, TX, USA.

出版信息

J Foot Ankle Surg. 2010 Jan-Feb;49(1):86.e5-10. doi: 10.1053/j.jfas.2009.08.006.

DOI:10.1053/j.jfas.2009.08.006

PMID:20123297

Abstract

Addressing segmental loss of the Achilles tendon with overlying soft tissue loss is a serious challenge. We present a case of Achilles tendon reconstruction in a patient who had significant soft tissue loss as well as segmental loss of the tendon involving the calcaneal insertion. The staged reconstruction was undertaken with a combination of a sural fasciocutaneous flap and an Achilles tendon allograft with an attached calcaneal bone block.

摘要

处理伴有覆盖软组织缺损的跟腱节段性缺损是一项严峻挑战。我们报告一例跟腱重建病例，该患者存在严重的软组织缺损以及累及跟骨附着处的跟腱节段性缺损。采用腓肠肌筋膜皮瓣和带跟骨骨块的跟腱同种异体移植物联合进行分期重建。