Repair of Small-Size Wound With Achilles Tendon Exposure With Proximal Pedicled Cutaneous Neurovascular Flap

作者：Yang, Yun-fa^*; Gao, Xiao-sheng; Liu, Zai-li; Huang, Jian-wen; Wang, Jian-wei; Xu, Zhong-he

来源：Annals of Plastic Surgery, 2021, 87(4): 457-460.

DOI：10.1097/SAP.0000000000002730

• surgical flap
• Achilles tendon
• wound management
• neurocutaneous flap
• dorsolateral foot

Objective To investigate the clinical outcomes associated with repairing of small-sized wounds of Achilles tendon exposure with proximal pedicled cutaneous neurovascular flap in the dorsolateral foot. Methods After thorough debridement, 16 cases with small-sized wounds of Achilles tendon exposure were repaired by proximal pedicled cutaneous neurovascular flap of the dorsolateral foot, and their clinical outcomes were observed. Results All the flaps in the 16 cases survived completely, excluding the marginal part necrosis in 1 case, and all the wounds were healed. The 2-point discrimination of the flaps was 14.53 +/- 1.55 mm (range, 12-17 mm) in patients without sural nerve injury after 3 to 18 months follow-up. No discomfort was felt in wearing normal shoes by all the 16 patients. Conclusions It is reasonable to repair the small-sized wounds of Achilles tendon exposure with proximal pedicled cutaneous neurovascular flap of dorsolateral foot due to its effective repair of the wound, relatively uncomplicated surgery, and had satisfactory healing recovery.

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