MANAGEMENT OF CHRONIC ACHILLES-TENDON INFECTION WITH MUSCULOTENDINOUS-GRACILIS INTERPOSITION FREE-FLAP COVERAGE

被引：27

作者：

FEIBEL, RJ ^{[1
]}

JACKSON, RL ^{[1
]}

LINEAWEAVER, WC ^{[1
]}

BUNCKE, HJ ^{[1
]}

机构：

[1] UCSF,DAVIES MED CTR,DIV MICROSURG TRANSPLANTAT REPLANTAT,140 N TOWER,45 CASTRO ST,SAN FRANCISCO,CA 94114

来源：

JOURNAL OF RECONSTRUCTIVE MICROSURGERY | 1993年 / 9卷 / 05期

关键词：

D O I：

10.1055/s-2007-1006737

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Management of infected Achilles tendon repair poses a significant reconstructive problem. Thorough debridement is most important and resection of non-viable tendon substance is required. Reconstruction of such tendon defects requires vascularized soft-tissue coverage that is stable and that offers the possibility of functional restoration. Gracilis free-tissue transfer is an effective means of providing stable, durable, well-vascularized, soft-tissue coverage in an infected Achilles tendon repair. The microsurgical anastomoses are technically straightforward. Cybex II dynomometer measurements, performed 6 months following free-tissue transplantation, revealed strength (torque) and power, at an angular velocity of 45 degrees per second, of: 59 percent and 52 percent, respectively, compared to the uninjured side. Endurance was assessed at an angular velocity of 120 degrees per second over a 15-second test interval, and was noted to be 81 percent, compared to the normal ankle. Excellent functional results and acceptable soft-tissue contour can be expected with this technique.

引用

页码：321 / 325

页数：5