Mirtschink Sophia Juliane, Manke Elisabeth, Schneiders Wolfgang
Sektion Plastisch-Rekonstruktive Chirurgie, Elblandzentrum für Orthopädie und Unfallchirurgie, Elblandklinikum Riesa, Weinbergstraße 8, 01589, Riesa, Deutschland.
Unfallchirurg. 2021 Nov;124(11):945-950. doi: 10.1007/s00113-020-00951-y. Epub 2021 Jan 8.
Wearing a compression stocking over a longer period of time can lead to deep skin and soft tissue defects. This article presents a case of a circular necrosis with an exposed tendon of the tibialis anterior muscle and the Achilles tendon. The use of a peroneus brevis muscle flap led to an adequate coverage of the exposed Achilles tendon. Due to the short operating and anesthesia times, this flap is a good option for lower leg reconstruction, particularly in multimorbid patients. This case raises awareness of the importance of adequate patient training before commencing compression therapy.
长时间穿着压力袜可能会导致深部皮肤和软组织缺损。本文介绍了一例伴有胫前肌肌腱和跟腱外露的环形坏死病例。使用腓骨短肌肌瓣可充分覆盖外露的跟腱。由于手术和麻醉时间短,该肌瓣是小腿重建的一个良好选择,尤其是对于患有多种疾病的患者。该病例提高了人们对在开始压迫治疗前对患者进行充分训练的重要性的认识。