Abstract
Cilt nekrozu aşil tendonu rüptürlerinin cerrahi tedavisinde en sık karşılaşılan komplikasyondur. Daha önce iki kez aşil tendonu rüptürü nedeniyle ameliyat edilmiş ve cilt+tendon defekti olan profesyonel bir futbolcuya, serbest flep ile rekonstrüksiyon uygulandı. Radial önkol flebi cilt, fasia ve tendon elementlerini içermesi nedeniyle seçildi. Peroneus brevis tendonu calcaneusa transfer edildi, ayrıca flep içindeki vaskülerize brachioradiaIis tendonu aşil tendonundaki defekti köprülemek için kullanıldı. Ve tüm tendon yapılan önkol flebinin vaskülarize fasiası ile çevrelendi, aynı zamanda 9x4.5 cm'lik cilt defekti örtüldü. Hasta ameliyattan 1 yıl sonra aktif profesyonel spora başladı.
A composite fascio-cutaneo-tendinous free flap for reconstruction of an old tendo calcaneus rupture of a professional sportsman
Abstract
Skin necrosis is the most often encountered complication of the surgical treatment of ruptures of the tendo achilles. We performed a free flap for reconstruction of tendo achilles of a professional football player who had two previous operations. We thougt the radial forearm flap was the best option with skin, fascia, tendon elements. We transferred the peroneus brevis to os calcis and vascularized brachioradialis tendon to bridge the gap in the achille. AII transferred tendons were surrounded by vascularized fascia of the forearm flap. At the same time a 9x4.5 cm skin defect was covered. After a four month rehabilitation period the range of ankle motion was complete. 12 months after the operation, he was ready to begin active professional sport.
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| Primary Language | English |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | September 11, 2006 |
| Published in Issue | Year 1995 Volume: 29 Issue: 3 |