Clinical application of anterolateral thigh flap with vascularized femoral fascia for repairing Achilles tendon and heal soft tissue defects

doi:10.3877/cma.j.issn.1674-0785.2019.12.009

Abstract

Abstract:

Objective

To explore the clinical application of anterolateral thigh flap with vascularized femoral fascia for repairing the Achilles tendon and heal soft tissue defects.

Methods

From October 2012 to December 2014, 11 patients who suffered from local soft tissue defects (from 4 cm×6 cm to 9 cm×13 cm) and partial or total injury of the Achilles tendon were treated and evaluated. An anterolateral thigh flap and fascia lata of the corresponding size were cut, and the defect area of the Achilles tendon was designed to be located at the pedicle of the perforator vessel to repair Achilles tendon defects.

Results

The flaps survived and the Achilles tendon exposure was well covered in 11 patients. All the patients followed for 6 to 9 months had no flap complications, and Achilles tendon tension and ankle movement function recovered well.

Conclusion

It is a good way to fix the Achilles tendon and heel soft tissue defects with an anterolateral thigh flap with vascularized femoral fascia.

Key words: Achilles tendon, Ankle, Surgical flaps, Microsurgery, Fascia lata, Vascularized

Zhijia Zhang, Jie Liu, Fangfang Guo, Debao Li. Clinical application of anterolateral thigh flap with vascularized femoral fascia for repairing Achilles tendon and heal soft tissue defects[J]. Chinese Journal of Clinicians(Electronic Edition), 2019, 13(12): 918-921.

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References 8

1	明华伟, 何芸, 张兴安, 等. CTA辅助游离股前外侧肌皮瓣修复舌癌术后缺损的应用研究 [J].中国美容医学, 2019, 28(2): 23-26.
2	张德军, 刘超, 徐亚非, 等. 带阔筋膜股前外侧皮瓣修复踝部跟腱损伤软组织缺损五例 [J]. 中华显微外科杂志, 2014. 37(4): 385-386.
3	柏树令, 杨宜辉. 阔筋膜的微血管构筑及其纤维配布 [J]. 中国医科大学学报, 1994, 23(6): 542-544.
4	冯仕明, 王爱国, 张在轶, 等. 带阔筋膜游离股前外侧皮瓣修复儿童跟腱缺损的远期随访 [J]. 中华显微外科杂志, 2016, 39(1): 71-73.
5	杨英才, 孙振中, 王博, 等. 阔筋膜折叠填充加包裹式缝合游离移植治疗跟腱断裂 [J]. 中华创伤杂志, 2017, 33(10): 938-939.
6	李晓庆, 王欣, 韩亚龙, 等. CT血管造影联合股前外侧穿支皮瓣加阔筋膜移植修复伴颅骨坏死外露头部电烧伤创面的效果 [J]. 中华烧伤杂志, 2018, 34(5): 283-287.
7	张治家, 杨军, 罗旭松, 等. 股前外侧皮瓣修复足踝区软组织缺损的临床应用 [J]. 中国美容医学, 2012, 21(15): 1932-1933.
8	Revenaugh PC, Knott PD, Scharpf J, et al. Simultaneous anterolateral thigh flap and temporalis tendon transfer to optimize facial form and function after radical parotidectomy [J]. Arch Facial Plast Surg, 2012, 14(2): 104-109.

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