Lateral supramalleolar flap for heel coverage in a patient with Werner's syndrome
Lateral supramalleolar flap for heel coverage in a patient with Werner's syndrome
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DOI：
10.1097/00000637-199809000-00015
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发表时间：
1998-09-01
影响因子：
1.5
通讯作者：
Kuriki, K
中科院分区：
文献类型：
--
作者：
Okazaki, M;Ueda, K;Kuriki, K
修复顽固性溃疡超过跟腱的病人与维尔纳氏综合征的描述。以外踝上皮瓣结合延迟手术成功覆盖溃疡。皮瓣发生部分坏死，但是，坏死区域可以用皮肤移植修复，因为皮瓣下面的脂肪筋膜存活。组织学研究显示，真皮纤维化明显蔓延到皮下组织，但深脂肪筋膜没有受到影响。只要不存在明显的动脉改变，外踝上皮瓣，如果结合延迟手术，可以作为修复足跟部溃疡的首选。
The repair of intractable ulcer over the Achilles' tendon in a patient with Werner's syndrome is described. The ulcer was covered successfully with a lateral supramalleolar flap combined with a delay procedure. Partial necrosis of the flap occurred; however, the necrotic area could be repaired with a skin graft because the underlying adipofascia of the flap survived. Histopathological studies revealed marked dermal fibrosis spreading to the subcutis, however the deep adipofascia was not so afflicted. The lateral supramalleolar flap, if combined with a delay procedure, can be used as a first choice in the repair of an ulcer in the heel region as long as apparent arteriosclerotic changes do not exist.