Lee K S, Park S W, Kim H Y
Department of Orthopedic Surgery, College of Medicine, Korea University, Seoul.
Microsurgery. 1994;15(12):882-5. doi: 10.1002/micr.1920151211.
Tendocutaneous free flap transfer has been used to treat troublesome wounds involving skin and tendons, with the dorsum of the foot being the most frequent donor site. Free flaps consist of the dorsalis pedis artery, saphenous vein, branch of the superficial peroneal nerve, long extensor tendons, and overlying skin. We analyzed 13 cases of skin and tendon loss from the dorsum of the hand and wrist that were treated with tendocutaneous free flap from the dorsum of the foot. The size of the flap was from 6 x 5 cm to 11.5 x 7.1 cm (average, 9.2 x 5.9 cm), and the transferred tendons ranged from 1 to 5 in number (average, 2.9), and 5 to 17 cm in length (average, 9.2 cm). The transferred flaps survived in all cases, and the transferred tendons were functioning well except in two cases of electrical burn. The complications included two cases of tendon adhesion, one case of marginal necrosis of the flap, and three cases of donor-site wound problem.
带腱膜的游离皮瓣移植已被用于治疗涉及皮肤和肌腱的棘手伤口，其中足背是最常用的供区。游离皮瓣由足背动脉、大隐静脉、腓浅神经分支、长伸肌腱及覆盖其上的皮肤组成。我们分析了13例手背和腕背皮肤及肌腱缺损病例，这些病例均采用足背带腱膜游离皮瓣进行治疗。皮瓣大小为6×5厘米至11.5×7.1厘米（平均9.2×5.9厘米），移植的肌腱数量为1至5条（平均2.9条），长度为5至17厘米（平均9.2厘米）。所有病例中移植的皮瓣均存活，除2例电烧伤外，移植的肌腱功能良好。并发症包括2例肌腱粘连、1例皮瓣边缘坏死和3例供区伤口问题。
