Reconstruction of Tendon and Soft Tissue Defects in the Anterior Compartment of the Lower Leg with a Free Tensor Fascia Lata Iliotibial Band Flap-A Case Report

使用游離張闊筋膜肌肉皮瓣於小腿前區的重建：一病例報告

林淑媛(Shu-Yuan Lin) ； 陳錦時(Jin-Shyr Chen) ； 陳理維(Lee-Wei Chen) ； 湯崇彥(Chong-Yang Tang)

《中華民國重建整形外科醫學會雜誌》 8卷3期 (1999/09) Pp. 218-223

https://doi.org/10.7096/JPRSA.199909.0218

摘要

大肌腱缺損的重建，在過曾報告過使用游離張闊筋膜肌肉皮瓣，游離腹股溝皮瓣，或游離三角肌皮瓣來重建。我們在此報告一位小腿前區中，脛骨前肌，伸姆長肌，伸趾長肌的部分肌肉肌腱與皮膚缺損的病人，成功地用游離張闊筋膜肌肉皮瓣來重建的病例。病人術後足踝及腳趾的伸展可達到二十度及三十度，足踝部及大腳趾的彎曲與對側腳類似。他回復正常的走路能力，對從事日常生活及工作沒有影響。

並列摘要

Reconstruction of a large tendon defect with free tensor fascia lata flap, free groin flap with external oblique fascia or free lateral arm flap with triceps tendon has been reported. A case with anterior compartment muscle and tendon defects successfully reconstructed by a free tensor fascia lata flap with split iliotibial tract was reported. Postoperative range of motion of ankle was 20 degrees in dorsiflexion and 40 degrees in plantar flexion. Average range of motion was 25 degrees in metatarsophalangeal joint extension and 35 degrees in metatarsophalangeal and interphalangeal joint flexion. The patient resumed nearly normal walking capability.

並列關鍵字

tensor fascia lata flap ； tendon reconstruction