首页> 外文期刊>Journal of plastic, reconstructive & aesthetic surgery: JPRAS >Free partial latissimus dorsi myocutaneous flap for coverage of severe achilles contracture in children
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Free partial latissimus dorsi myocutaneous flap for coverage of severe achilles contracture in children

机译:游离部分背阔肌肌皮瓣覆盖儿童严重跟腱挛缩

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摘要

Achilles tendon and soft-tissue contractures caused by trauma to the foot and ankle are complex injuries. An array of techniques, including local and distant flaps, has been used and described to reconstruct these challenging wounds. However, the management of these injuries in a growing child who develops abnormal gait due to equinus deformity has not been categorically reported. The latissimus dorsi myocutaneous flap has the advantage of a rich blood supply making specific partial muscle harvest possible. In this case series, we report on five paediatric patients with severe contracture of the Achilles tendon and posterior ankle, who were reconstructed with free partial latissimus dorsi myocutaneous flaps. All flaps survived and satisfactory form and function of the ankle joint were achieved with minimal donor morbidity. We believe that the free partial latissimus dorsi myocutaneous flap is an excellent option for the soft-tissue reconstruction of severe Achilles tendon contracture in children.
机译:由脚和脚踝受伤引起的跟腱和软组织挛缩是复杂的损伤。已经使用并描述了一系列技术,包括局部和远处的皮瓣,来重建这些具有挑战性的伤口。但是,尚未明确报道正在成长的儿童由于马蹄形畸形而出现异常步态的这些伤害的处理方法。背阔肌肌皮瓣的优点是血液供应丰富,可以进行特定的部分肌肉收获。在这个病例系列中,我们报告了五名小儿跟腱和后踝严重挛缩的患者,这些患者均使用游离的部分背阔肌肌皮瓣重建。所有皮瓣均存活,且踝关节的形式和功能令人满意,且供体发病率最低。我们认为,游离的背阔肌部分肌皮瓣是儿童重度跟腱挛缩的软组织重建的绝佳选择。

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