[Application of modified peroneal tendofascial compound flap with partial tendon of peroneal long muscle in lower leg refractory defects with Achilles tendon rupture].
OBJECTIVE
To investigate the feasibility of using modified peroneal tendofascial compound flap with partial tendon of peroneal long muscle in lower leg refractory defect with Achilles tendon rupture.


METHODS
Based on the application experience of peroneal tendofascial compound flap for lower leg refractory defects, partial tendon of peroneal long muscle was included in the flap to repair the Achilles tendon rupture.


RESULTS
6 cases were treated. The maximum size of modified compound flap reached 5 cm x 5 cm. The maximal included tendon in the flap was 5 cm in length. All the flaps survived completely. Partial epidermis necrosis happened in one case between the skin graft at the donor site and the edge of the flap pedicle. The patients were followed up for 5 months to 2 years with satisfactory cosmetic and functional results.


CONCLUSIONS
The modified compound flap has reliable blood supply and can be easily transposed, leaving less morbidity at the donor site. It is very suitable for lower leg refractory defect with the Achilles tendon rupture.
Zhu
Fei
F
Department of Plastic Surgery of the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Ning
Jin-long
JL
Li
Xiao-jing
XJ
Zhang
Lin
L
Zuo
Zong-bao
ZB
D000125:Achilles Tendon / Q000293:injuries*; D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps; D013708:Tendon Injuries / Q000601:surgery*; D016896:Treatment Outcome