Berthe J V, Toussaint D, Coessens B C
Department of Plastic Surgery at the Free University of Brussels, Belgium.
Plast Reconstr Surg. 1998 Oct;102(5):1618-22. doi: 10.1097/00006534-199810000-00044.
In this paper, the treatment of a complicated Achilles tendon defect with a composite lateral arm flap with distal design of the skin paddle has been presented. The extended portion of the flap was sufficient to restore adequate contour to the posterior aspect of the ankle, and reinervation showed good protective sensation at 1 year. In terms of resurfacing, the use of the reinervated lateral arm flap with a distal design of the skin paddle seems advantageous. The weakening of the reconstructed Achilles tendon, although without clinical incidence and impairment of elbow extensors at this stage, may indicate that a better substitute than the triceps tendon has to be found. Nevertheless, we would best reconstruct such an Achilles tendon defect by the same technique because of the well vascularized autologous tissue it provides, limiting the risk of infection.
本文介绍了采用带远端皮瓣设计的复合外侧臂皮瓣治疗复杂跟腱缺损的方法。皮瓣的延伸部分足以恢复踝关节后方的适当外形，并且在1年时再植神经显示出良好的保护性感觉。在创面覆盖方面，使用带远端皮瓣设计的再植神经外侧臂皮瓣似乎具有优势。重建跟腱的弱化，尽管现阶段没有临床发生率且肘伸肌未受损，但可能表明必须找到比肱三头肌腱更好的替代物。然而，由于该技术提供了血运丰富的自体组织，降低了感染风险，我们最好采用相同技术来重建此类跟腱缺损。
