Achilles tendon area of skin and soft tissue defect treatment of 11 patients.docVIP

 PAGE \* MERGEFORMAT 6 Achilles tendon area of skin and soft tissue defect treatment of 11 patients [Abstract] Objective To investigate the skin and soft tissue defects of the Achilles tendon area of treatment and results. Methods Using peroneal artery flap, medial leg flap, local flap, sural nerve nutrition blood vessel accompanying flap, the former stock lateral free flap of skin and soft tissue defects of the Achilles tendon area. The results were followed up 11 cases from 1 month to 3 years. flaps survived completely in 10 cases, distal partial necrosis in 1 case. Conclusion flap surgery to repair with tendon area of skin and soft tissue defects of effective treatment. [Keywords:] the Achilles tendon area, skin and soft tissue defects, island flap Achilles tendon and heel area of skin and soft tissue after the weak, skin elasticity is small, but the defect with a common cause of the exposed bone and tendon, hard to heal itself, the need for timely surgical intervention. Of the years from 2003 to 2007 11 patients were treated, is reported below. 1 Clinical data 1.1 General information on the Achilles tendon area of the defect group of 11 patients, 9 males and 2 females, aged 23 to 48 years, the average age of 36.7 years. The causes of injury: Achilles tendon wounds do not heal after surgery, 2 cases of calcaneal fractures gypsum brake pressure skin necrosis in 1 case, 3 cases of car accident injuries, work injuries mining in 3 cases, 2 cases of injury of agricultural production. are associated with a certain degree of tendon injury, 1 case of skin necrosis in cases of oppression, plaster, hospital dressing for 2 months, the Achilles tendon is most defects. associated with calcaneal fractures in 5 cases, combined with ankle joint and tibial fractures in 3 cases. defect size from 1 cm 2 cm to 10 cm 15 cm range. fresh damage repair 5 cases, two repair in 6 cases. 1.2 surgical partial flap in 2 cases, retrograde sural neurocutaneous island fl