除负压伤口治疗外，采用纵向切开术治疗伴有跟腱外露的难治性伤口。
Longitudinal slit procedure in addition to negative pressure wound therapy for a refractory wound with exposed achilles tendon.
作者信息
Ohata Erika, Yuzuriha Shunsuke, Mishima Yoshito, Matsuo Kiyoshi
机构信息
Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Department of Plastic and Reconstructive Surgery, Nagano Red Cross Hospital, Nagano, Japan.
出版信息
Eplasty. 2015 Mar 18;15:e9. eCollection 2015.
OBJECTIVE
This case report reviews features of negative pressure wound therapy, particularly for the exposed Achilles tendon, and describes an additional effective procedure.
METHODS
An 87-year-old man presented with a soft-tissue defect measuring 3×5 cm with the exposed Achilles tendon as a sequela of deep burn. The condition of his affected leg was ischemic because of arteriosclerosis. We used negative pressure wound therapy and made 2 longitudinal slits penetrating the tendon to induce blood flow from the ventral side to the dorsal surface.
RESULTS
By this combination therapy, the surface of the exposed Achilles tendon was completely epithelialized and the tendon was spared without disuse syndrome.
CONCLUSIONS
The authors conclude that this combination therapy is useful for covering the widely exposed tendon in aged patients.
目的
本病例报告回顾负压伤口治疗的特点，尤其是针对暴露的跟腱，并描述一种额外的有效方法。
方法
一名87岁男性因深度烧伤后遗症出现一处3×5厘米的软组织缺损，跟腱暴露。由于动脉硬化，其患侧腿部存在缺血情况。我们采用负压伤口治疗，并在肌腱上做了两条纵向切口以促使血液从腹侧流向背侧。
结果
通过这种联合治疗，暴露的跟腱表面完全上皮化，肌腱得以保留且未出现废用综合征。
结论
作者得出结论，这种联合治疗对于覆盖老年患者广泛暴露的肌腱很有用。
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