日本マイクロサージャリー学会会誌
Online ISSN : 2185-9949
Print ISSN : 0916-4936
症例
Reconstruction of Infected Skin and an Achilles Tendon Defect with a Composite Free Anterolateral Thigh Flap and Vascularized Fascia Lata tissue
HATTORI YasunoriSAKAMOTO SotetsuDOI Kazuteru
著者情報
ジャーナル 認証あり

29 巻 (2016) 2 号 p. 106-113

詳細
PDFをダウンロード (604K) 発行機関連絡先
抄録

Achilles tendon defects associated with infection and skin defects are not uncommon. The three main problems that have to be addressed when treating such defects include the control of local infections, the provision of soft tissue coverage, and the restoration of ankle plantar flexion. The reconstruction of such wounds using conventional methods usually involves multiple procedures, and the functional results are not always satisfactory. We present a case involving segmental loss of the Achilles tendon associated with infection and the loss of skin and the surrounding soft tissue. The patient was successfully managed using a composite anterolateral thigh flap and vascularized fascia lata tissue. He was able to walk without any support at 16 postoperative weeks. At the latest follow-up ( at 2 postoperative years ), he exhibited a normal gait and was able to walk without pain and fatigue. He was also able to stand on his tiptoes and displayed normal plantar flexion strength. The combined use of an anterolateral thigh flap along with vascularized fascia lata tissue represents a useful option for the reconstruction of complex Achilles tendon defects.

著者関連情報
© 2016 日本マイクロサージャリー学会
前の記事 次の記事

閲覧履歴
feedback
Top