PDF(Pubmed)
Abstract：
UNASSIGNED: Reconstruction of soft tissue defects overlying the Achilles tendon has always been a challenge. Various modalities of reconstruction have been described to resurface such defects. We aimed to assess the functional and cosmetic outcomes of all patients who had undergone reconstruction of small and medium sized soft tissue defects of the Achilles region using local fasciocutaneous island flaps.
UNASSIGNED: This retrospective study was conducted from January 2020 to June 2022. 15 patients with small (≤ 30 cm2) and medium (30-90 cm2) sized soft tissue defects of the tendo-Achilles region, underwent reconstruction with local fasciocutaneous island flaps and had complete medical records, were included.
UNASSIGNED: Thirteen patients were male (86.7%). The mean age was 53.2 years. 5 cases (33.3%) had post-traumatic open AT injuries with skin avulsion, while ten patients (66.7%) had suture line complications after open repair of spontaneous Achilles tendon rupture. Defect sizes ranged from 12 to 63 cm2. Reverse sural flap was used in 5 patients (33.3%) and medial plantar flap in 10 patients (66.7%). All flaps survived completely. Complications were detected in 3 patients (20%); 1 distal superficial necrosis in a sural flap and 2 marginal minimal graft loss. Functional outcome was good in 12 patients (80%), excellent in 1 patient (6.7%) and fair in 2 patients (13.3%). 13 patients (86.7%) were satisfied with the cosmetic results.
UNASSIGNED: Local fasciocutenous island flaps are reliable and simple solutions for covering small to moderate soft tissue defects overlying the Achilles Tendon, with acceptable functional and cosmetic outcomes.
UNASSIGNED: This retrospective study was conducted from January 2020 to June 2022. 15 patients with small (≤ 30 cm2) and medium (30-90 cm2) sized soft tissue defects of the tendo-Achilles region, underwent reconstruction with local fasciocutaneous island flaps and had complete medical records, were included.
UNASSIGNED: Thirteen patients were male (86.7%). The mean age was 53.2 years. 5 cases (33.3%) had post-traumatic open AT injuries with skin avulsion, while ten patients (66.7%) had suture line complications after open repair of spontaneous Achilles tendon rupture. Defect sizes ranged from 12 to 63 cm2. Reverse sural flap was used in 5 patients (33.3%) and medial plantar flap in 10 patients (66.7%). All flaps survived completely. Complications were detected in 3 patients (20%); 1 distal superficial necrosis in a sural flap and 2 marginal minimal graft loss. Functional outcome was good in 12 patients (80%), excellent in 1 patient (6.7%) and fair in 2 patients (13.3%). 13 patients (86.7%) were satisfied with the cosmetic results.
UNASSIGNED: Local fasciocutenous island flaps are reliable and simple solutions for covering small to moderate soft tissue defects overlying the Achilles Tendon, with acceptable functional and cosmetic outcomes.
摘要：
■重建覆盖跟腱的软组织缺损一直是一个挑战。已经描述了各种重建模式来重新修复这些缺陷。我们旨在评估使用局部筋膜皮瓣重建跟腱区域中小型软组织缺损的所有患者的功能和美容结果。
■这项回顾性研究于2020年1月至2022年6月进行。15例肌腱-跟腱区域的小（≤30cm2）和中等（30-90cm2）大小的软组织缺损患者，用局部筋膜皮瓣进行重建，并有完整的医疗记录，包括在内。
■13例患者为男性（86.7%）。平均年龄为53.2岁。5例(33.3%)创伤后开放性AT伤合并皮肤撕脱伤,10例(66.7%)自发性跟腱断裂开放修补术后出现缝合线并发症。缺陷尺寸范围为12至63cm2。逆行腓肠皮瓣5例(33.3%)，足底内侧皮瓣10例(66.7%)。所有皮瓣完全存活。在3例患者（20％）中发现了并发症；腓肠皮瓣中1例远端浅表坏死，2例边缘最小移植物丢失。12例（80%）患者的功能转归良好，优秀1例(6.7%)，一般2例(13.3%)。13例(86.7%)患者对美容效果满意。
■局部筋膜岛状皮瓣是覆盖跟腱上的小到中度软组织缺损的可靠且简单的解决方案，具有可接受的功能和美容效果。
■这项回顾性研究于2020年1月至2022年6月进行。15例肌腱-跟腱区域的小（≤30cm2）和中等（30-90cm2）大小的软组织缺损患者，用局部筋膜皮瓣进行重建，并有完整的医疗记录，包括在内。
■13例患者为男性（86.7%）。平均年龄为53.2岁。5例(33.3%)创伤后开放性AT伤合并皮肤撕脱伤,10例(66.7%)自发性跟腱断裂开放修补术后出现缝合线并发症。缺陷尺寸范围为12至63cm2。逆行腓肠皮瓣5例(33.3%)，足底内侧皮瓣10例(66.7%)。所有皮瓣完全存活。在3例患者（20％）中发现了并发症；腓肠皮瓣中1例远端浅表坏死，2例边缘最小移植物丢失。12例（80%）患者的功能转归良好，优秀1例(6.7%)，一般2例(13.3%)。13例(86.7%)患者对美容效果满意。
■局部筋膜岛状皮瓣是覆盖跟腱上的小到中度软组织缺损的可靠且简单的解决方案，具有可接受的功能和美容效果。
