Zhu Fei, Ning Jin-long, Li Xiao-jing, Zhang Lin, Zuo Zong-bao
Department of Plastic Surgery of the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2010 Mar;26(2):107-9.
To investigate the feasibility of using modified peroneal tendofascial compound flap with partial tendon of peroneal long muscle in lower leg refractory defect with Achilles tendon rupture.
Based on the application experience of peroneal tendofascial compound flap for lower leg refractory defects, partial tendon of peroneal long muscle was included in the flap to repair the Achilles tendon rupture.
6 cases were treated. The maximum size of modified compound flap reached 5 cm x 5 cm. The maximal included tendon in the flap was 5 cm in length. All the flaps survived completely. Partial epidermis necrosis happened in one case between the skin graft at the donor site and the edge of the flap pedicle. The patients were followed up for 5 months to 2 years with satisfactory cosmetic and functional results.
The modified compound flap has reliable blood supply and can be easily transposed, leaving less morbidity at the donor site. It is very suitable for lower leg refractory defect with the Achilles tendon rupture.
探讨采用改良的带部分腓骨长肌肌腱的腓骨肌腱筋膜复合组织瓣修复小腿难治性缺损并伴有跟腱断裂的可行性。
基于腓骨肌腱筋膜复合组织瓣修复小腿难治性缺损的应用经验，将部分腓骨长肌肌腱纳入组织瓣以修复跟腱断裂。
共治疗6例。改良复合组织瓣最大面积达5 cm×5 cm。组织瓣内所包含的最长肌腱为5 cm。所有组织瓣均完全存活。1例供区植皮与组织瓣蒂部边缘之间出现部分表皮坏死。对患者进行了5个月至2年的随访，外观及功能效果满意。
改良复合组织瓣血供可靠，转移方便，供区损伤小。非常适合修复伴有跟腱断裂的小腿难治性缺损。
