Feibel R J, Jackson R L, Lineaweaver W C, Buncke H J
Department of Surgery, University of Ottawa.
J Reconstr Microsurg. 1993 Sep;9(5):321-5. doi: 10.1055/s-2007-1006737.
Management of infected Achilles tendon repair poses a significant reconstructive problem. Thorough debridement is most important and resection of non-viable tendon substance is required. Reconstruction of such tendon defects requires vascularized soft-tissue coverage that is stable and that offers the possibility of functional restoration. Gracilis free-tissue transfer is an effective means of providing stable, durable, well-vascularized, soft-tissue coverage in an infected Achilles tendon repair. The microsurgical anastomoses are technically straightforward. Cybex II dynomometer measurements, performed 6 months following free-tissue transplantation, revealed strength (torque) and power, at an angular velocity of 45 degrees per second, of: 59 percent and 52 percent, respectively, compared to the uninjured side. Endurance was assessed at an angular velocity of 120 degrees per second over a 15-second test interval, and was noted to be 81 percent, compared to the normal ankle. Excellent functional results and acceptable soft-tissue contour can be expected with this technique.
感染性跟腱修复的处理是一个重大的重建难题。彻底清创最为重要，需要切除无活力的肌腱组织。此类肌腱缺损的重建需要稳定的带血管软组织覆盖，且要有功能恢复的可能性。股薄肌游离组织移植是为感染性跟腱修复提供稳定、持久、血运良好的软组织覆盖的有效方法。显微外科吻合在技术上很简单。游离组织移植6个月后进行的Cybex II测力计测量显示，在每秒45度的角速度下，与未受伤侧相比，力量（扭矩）和功率分别为59%和52%。在15秒的测试间隔内，以每秒120度的角速度评估耐力，与正常踝关节相比，耐力为81%。采用该技术可获得优异的功能结果和可接受的软组织外形。
