Heel deep tissue defects were repaired by perineal tendofascial flap conjoined with adipofascial flap.
- Author:
Jin-long NING
1
;
Lin ZHANG
;
Xiao-jing LI
;
Fei ZHU
;
Xue-hong GAO
;
Hao DING
;
Tuan-jie HOU
;
Hui-qiang YANG
;
Chi XIA
;
Hai-bing SONG
Author Information
- Publication Type:Journal Article
- MeSH: Achilles Tendon; injuries; surgery; Adult; Fascia; transplantation; Female; Fibula; surgery; Heel; injuries; surgery; Humans; Male; Middle Aged; Skin Transplantation; Soft Tissue Injuries; surgery; Surgical Flaps
- From: Chinese Journal of Plastic Surgery 2007;23(1):5-7
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore a new method and estimate its outcome to repair deep heel tissue injuries with local tissue flap.
METHODSAt lower cnemis, a fat fascial flap combined with perineal tendofascial flap were designed and elevated between the lateral malleolars blank, the largest area is 6 cm x 13 cm, which were transplanted to cover naked calcaneal tendon and calcaneal bone, full-thickness free skin graft or middle-thickness free skin graft were grafted on flap.
RESULTS6 patients suffered from heel tissue defects had been treated from January 2004 to November 2005. The smallest area was 3.5 cm x 4.0 cm and the largest was 4 cm x 6 cm. All fascial flaps and free skin grafts were successfully survived after operations. All patients were followed up 3-23 months, the operation areas were healed, the functions and configurations were satisfied.
CONCLUSIONSPerineal tendofascial flap conjoined with adipofasical flap and free skin graft are used to repair heel deep tissue defects, which is a handy, dependable way for repairing of the small tissue defects of the lower third of leg and heel.
