Nazerali Rahim S, Hakimi Marwa, Giza Erik, Sahar David E
From the *Division of Plastic Surgery, University of California, Davis Medical Center, Sacramento, CA; †San Francisco State University, San Francisco, CA; and ‡Department of Orthopedic Surgery, University of California Davis Medical Center, Sacramento, CA.
Ann Plast Surg. 2013 Apr;70(4):416-8. doi: 10.1097/SAP.0b013e3182853d6c.
Reconstruction of the Achilles tendon is challenging but critical for successful ambulation. The goals of Achilles tendon reconstruction are to restore power of plantar flexion, restore normal range of movement of the ankle joint, and ensure durable and pliable soft tissue coverage. We present a dehiscence of the Achilles tendon and partial soft tissue loss secondary to infection. Simultaneous Achilles tendon reconstruction with flexor hallucis longus (FHL) tendon transfer and soft tissue reconstruction with free radial forearm flap was performed as a single-stage procedure. The FHL transfer provided good restoration of plantar flexion while the free radial flap provided stable coverage over the Achilles tendon allowing normal footwear. This single-stage reconstruction provides excellent functional and aesthetic results minimizing the number of procedures and patient recovery period.
跟腱重建具有挑战性，但对于成功行走至关重要。跟腱重建的目标是恢复跖屈力量、恢复踝关节正常活动范围，并确保持久且柔韧的软组织覆盖。我们报告一例因感染导致的跟腱裂开和部分软组织缺损。采用单阶段手术，同时进行拇长屈肌腱（FHL）转移跟腱重建和游离桡侧前臂皮瓣软组织重建。FHL转移很好地恢复了跖屈功能，而游离桡侧皮瓣为跟腱提供了稳定的覆盖，使患者能够正常穿鞋。这种单阶段重建提供了出色的功能和美学效果，减少了手术次数和患者的恢复期。
