[Design of Z-shaped Achilles tendon scar composite flaps to correct the tendon-scar contracture].
OBJECTIVE
To modify the design of the Achilles tendon-scar composite flap into the Z-shape and to apply it into clinic situations to correct the tendon-scar contracture after burn and other injures.


METHODS
According to degree of contracture and strephenopedia, the central limb of Z-shaped design lay in contracture line of posterior ankle area just over the Achilles tendon and extended 8 to 12 cm in length. Lateral limbs extended 5 to 8 cm and usual angles of the Z-shape was 60 degrees. The two tendon-scar composite flaps were made and slipped along the central limb between them. From March 1994 to August 1999, seven patients with Achilles tendon scar contracture were operated with this method.


RESULTS
Excellent relieving of the Achilles tendon-scar contractue was achieved. No such complications happened as ischemia and necrosis of the flaps.


CONCLUSIONS
The Z-shaped tendon-scar composite flap is practical in clinics. It is characterized by abundant blood supply, easily procedure and reliable result.
Hong
Z J
ZJ
Department of Plastic Surgery, Nanjing General Hospital of PLA, Nanjing Jiangsu, P. R. China 210002.
Jiang
H Q
HQ
Wang
J
J
D000125:Achilles Tendon / Q000098:blood supply / Q000293:injuries / Q000601:surgery*; D000328:Adult; D002921:Cicatrix / Q000601:surgery; D003286:Contracture / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017695:Soft Tissue Injuries / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply