Lidman D, Nettelblad H, Berggren A, Rajan S
Department of Plastic Surgery, Linköping University Hospital, Sweden.
Scand J Plast Reconstr Surg Hand Surg. 1987;21(2):213-8. doi: 10.3109/02844318709078102.
The combined loss of the Achilles tendon and the overlying soft tissue in the young ambulant patient with expectations of a normal life is a challenge. These patients need not only skin coverage but also dynamic, functioning repair. Two cases of major defects after tumour resection are presented. In each case the tendon was reconstructed using the remaining gastrocnemius aponeurosis reinforced with fascia lata. This was covered by a free tensor fascia lata (TFL) flap. In one of the cases the flap was transferred as a neurovascular free flap.
对于期望正常生活的年轻能行走患者，跟腱及其上方软组织的联合缺失是一项挑战。这些患者不仅需要皮肤覆盖，还需要动态的、功能性修复。本文介绍了两例肿瘤切除术后的大面积缺损病例。在每例病例中，均使用阔筋膜加强剩余的腓肠肌腱膜重建肌腱。然后用游离阔筋膜张肌（TFL）皮瓣覆盖。其中1例皮瓣作为吻合血管的游离皮瓣进行转移。
