Plastic Surgery Unit, Fayoum University, Borg El Adalla, Dalla, Gamal Abd Elnaser Street, Fayoum, Egypt.
J Plast Reconstr Aesthet Surg. 2014 Feb;67(2):252-6. doi: 10.1016/j.bjps.2013.10.030. Epub 2013 Oct 28.
The idea of using the leg tendon sheath as a pedicled fascial flap was first described by the author in April 2003. To extend this new idea, the author studied the blood supply and gross features of the outer layer of the Achilles tendon sheath. The findings of that study supported the feasibility of using the medial gastrocnemius muscle with an Achilles tendon sheath extension flap to cover defects over the upper two-thirds of the tibia. Six flaps of the Achilles tendon sheath survived, and the split skin grafts over the tibia took; but, in one flap, the distal 1 cm was lost. The length of follow-up was 3 years for all cases. The results demonstrated safe elevation of up to 8 cm of distal extension.
作者于 2003 年 4 月首次提出将腿部肌腱鞘用作带蒂筋膜瓣的想法。为了扩展这一新理念，作者研究了跟腱外鞘的血液供应和大体特征。该研究的结果支持使用包含跟腱鞘延伸瓣的腓肠肌内侧头肌皮瓣来覆盖胫骨中上三分之一部位的缺损。6 个跟腱鞘皮瓣得以存活，胫骨上的游离植皮也存活了；但有 1 个皮瓣的远端 1 厘米丢失。所有病例的随访时间为 3 年。结果表明，安全的远端延长可达 8 厘米。
