Repair of Complex Achilles Tendon Defect in Children

Abstract：Objective To observe the clinical effect of peroneal artery perforator flap combined gastrocnemius aponeurosis on repairing complex Achilles tendon defect in Children. Methods Between October 2009and December 2014,12 cases of complex Achilles tendon defects in children were repaired with peroneal artery perforator flap combined gastrocnemius aponeu-rosis. 5 cases were fresh injury,7 cases were old defects. The size of the wounds ranged from 22 cm2 to 64 cm2 . The length of tendon defect ranged from 3. 5 cm to 7. 0 cm. The clinical outcome was evaluated by Ankle joint dynamic degree,AOFAS score and SF36 score before and after operation. Results 8 cases were primary healed. 2 cases with skin necrosis and 2 cases with donor site necrosis. 1 cases experience recurrent infection. The plantar extension at 1 year was significantly better than that at 3 months after operation and pre-operation. The dorsal extension at 1 year was significantly better than that at 3 months after op-eration,but no significant difference was found between at 1 year and pre-operation. The AOFAS score and SF36 score at 1 year after operation were significantly larger than those at 3 months after operation and pre-operation. Conclusion Peroneal artery perforator flap with gastrocnemius aponeurosis is an ideal repair method in repairing complex achilles tendon defect in Chil-dren.