胫后动脉穿支皮瓣用于覆盖跟腱区缺损。

Posterior tibial artery perforator flaps for coverage of Achilles region defects.

作者信息

Vaienti L, Calori G M, Leone F, Brioschi M, Parodi P C, Marchesi A

机构信息

Dipartimento di Chirurgia Plastica Ricostruttiva, I.R.C.C.S. Policlinico San Donato, Università degli Studi di Milano, San Donato Milanese, MI, Italy.

Orthopaedic Reparative Surgery Department, Orthopaedic Institute Gaetano Pini, University of Milan, Italy.

出版信息

Injury. 2014 Dec;45 Suppl 6:S133-7. doi: 10.1016/j.injury.2014.10.037. Epub 2014 Oct 28.

DOI:10.1016/j.injury.2014.10.037

PMID:25457333

Abstract

BACKGROUND

Defects of the Achilles tendon region still represent a tricky issue in lower limb surgery. Among the several reconstructive possibilities, local propeller perforator flaps have gained popularity in the last decade.

MATERIALS AND METHODS

We report our experience with eight patients affected by small-to-moderate soft-tissue defects of the Achilles tendon region, who underwent surgical reconstruction with local flaps based on posterior tibial perforator branches.

RESULTS

All patients healed successfully in terms of aesthetic and functional aspect. In only one case a transient venous congestion was observed and this resolved spontaneously.

CONCLUSIONS

Although the surgical technique requires much care and skill, including an extremely gentle dissection of perforator vessels, local propeller flaps should be considered the first-line choice for reconstruction in small-to-medium size soft-tissue defects in the Achilles region.

摘要