Inside and outside the island side head gastrocnemius muscle flap Achilles tendon and skin defects in 11 cases while.docVIP

 PAGE \* MERGEFORMAT 6 Inside and outside the island side head gastrocnemius muscle flap Achilles tendon and skin defects in 11 cases while Of: Fang Kai, Zhang Hanjun, Wang Geng Fu, high generation of silver, silver Han Gong, Deng Zhigang [Abstract] of 11 cases of Achilles tendon and skin defects were treated with both internal and external side head of gastrocnemius musculocutaneous flap in VY advancement method, 10 cases of flap healing, 1 case of distal edge of the black, after changing dressing 3 weeks to heal. flap in all patients normal color, shape finishing, knee, ankle so easily, it is worth promoting. [Keywords:] gastrocnemius; flap; Achilles tendon; skin defects Severe leg and ankle injury also often leads to defects of the Achilles tendon and skin, brought to the clinical treatment of larger problems. I since November 2002 ~ February 2007 with gastrocnemius musculocutaneous flap in VY advancement Methods to repair Achilles tendon and skin defects in 11 cases at the same time, the follow-up results were satisfactory, the report is as follows. Clinical data 1 General Information of this group 11 cases, 9 cases were male and 2 females; aged 15 to 53 years, mean 36 years. Road traffic injury in 6 cases, 4 cases of crush injury, avulsion injury in 1 case. 10cm maximum area of #8203;#8203;skin defects 9cm, the minimum defect size 5cm 4cm; Achilles tendon defect up to 8cm, the shortest 2.5cm. 2 First of all surgical debridement, skin necrosis of the lower leg and Achilles tendon completely removed, and then soaked with 30% iodine and fluoride for 10 minutes, normal saline, metronidazole wash the wound. Flap design and cut [1]: the upper part of flap located below the popliteal fossa, both sides of the tibia and fibula in the outer edge, proximal edge of the bottom of the Achilles tendon wounds. first make the flap above the incision to expose the gastrocnemius medial and lateral head, the two find the gastrocnemius and soleus muscle