Single-stage reconstruction of achilles tendon and overlying skin defect with peroneus brevis tendon transfer and peroneal tendofascial flap
10.3760/cma.j.issn.1001-2036.2018.02.012
- VernacularTitle:腓骨短肌腱联合腱鞘外筋膜瓣修复跟腱并皮肤缺损
- Author:
Deheng LIU
1
;
Zengfang ZHANG
;
Jinwei LIU
;
Bin YANG
;
Xiaofeng SONG
;
Zhaohui ZHU
;
Dongliang CHEN
Author Information
1. 山东大学齐鲁医院(青岛)手足外科
- Keywords:
Peroneus brevis tendon;
Peroneal tendofascial flap;
Achilles tendon defect;
Microsugical operation
- From:
Chinese Journal of Microsurgery
2018;41(2):148-151
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of peroneus brevis tendon transfer and peroneal tendofascial flap for repairing achilles tendon and overlying skin defect.Methods From April,2004 to May,2015,5 cases of achilles tendon and overlying skin defect were treated with peroneus brevis tendon transfer and peroneal tendofascial flap.In these cases,the length of the achilles tendon defect was from 3.0 cm to 8.0 cm,and the size of skin defect ranged from 2.0 cm × 3.0 cm to 3.0 cm × 5.0 cm.Using peroneus brevis tendon to reconstruct achilles tendon defect,and covered with peroneal tendofascial flap,and then skin graft.One of them combined with the gastrocnemius tendon V-Y advancement to promote the reconstruction of achilles tendon longer defect.The patients were followed-up regularly,and evaluated by the American Society of Ankle Arrhythmia (AOFAS) ankle-hindfoot scoring system.ResultsAll operations were successful and the grafted skin survived.All cases were followed-up from 6 months to 10 years with an average of 5.2 years.At the time of last followed-up,all wounds healed well without re-infection and ulceration.Not foot varus deformity and the strongth was back to the level before the injury.AOFAS ankle-hindfoot score was increased from (50.44 ± 12.05)(preoperative) to (90.02 ± 6.55)(the last follow-up) (P＜0.05).Conclusion There were some advantages in the method of the treatment of achilles tendon and overlying skin defect by using peroneus brevis tendon transfer and peroneal tendofascial flap,such as easy to cut,small damage to the donor area,and no significant deformity to the receptor area,etc.It is a good way to repair achilles tendon and overlying skin defects.
