外侧臂皮瓣修复跟腱上方多层缺损：16 例长期随访结果。
Multilayer reconstructions for defects overlying the Achilles tendon with the lateral-arm flap: long-term follow-up of 16 cases.
机构信息
Department of Plastic and Reconstructive Surgery, Uppsala University Hospital, Uppsala, Sweden.
出版信息
Microsurgery. 2012 Sep;32(6):438-44. doi: 10.1002/micr.21972. Epub 2012 Mar 31.
UNLABELLED
Defects of the Achilles tendon and the overlying soft tissue are challenging to reconstruct. The lateral-arm flap has our preference in this region as it provides thin pliable skin, in addition, the fascia and tendon can be included in the flap as well. The aim of this report is to share the experience the authors gained with this type of reconstruction. The authors report the largest series in the published reports today.
PATIENTS AND METHODS
A retrospective review was performed of all patients treated between January 2000 and January 2009 with a lateral-arm flap for a soft-tissue defect overlying the Achilles tendon.
RESULTS
In the reviewed period, 16 soft-tissue defects overlying the Achilles tendon were reconstructed, with a mean follow-up of 63 months. In three cases, tendon was included into the flap and in two, a sensory nerve was coapted. Fifteen cases (94%) were successful, one failed. In seven cases, a secondary procedure was necessary for thinning of the flap.
CONCLUSION
The lateral-arm flap is a good and safe option for the reconstruction of defects overlying the Achilles tendon.
目的
报告作者在该领域的经验，这是目前已发表文献中最大的系列报道。
患者和方法
对 2000 年 1 月至 2009 年 1 月期间采用外侧臂皮瓣治疗的 16 例跟腱上方软组织缺损患者进行回顾性研究。
结果
在回顾期间，有 16 例跟腱上方的软组织缺损采用外侧臂皮瓣重建，平均随访 63 个月。在 3 例中，肌腱被包含在皮瓣中，在 2 例中，感觉神经被吻合。15 例（94%）成功，1 例失败。在 7 例中，需要进行二次手术以使皮瓣变薄。
结论
外侧臂皮瓣是一种治疗跟腱上方缺损的良好且安全的选择。
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