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Br J Plast Surg. 2000 Oct;53(7):574-7.

Reconstruction of the Achilles tendon and overlying soft tissue using antero-lateral thigh free flap.

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  • 1Division of Plastic Surgery, Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan.


Reconstruction of combined loss of the Achilles tendon and overlying soft tissue was performed using an antero-lateral thigh free flap in three patients. The cutaneous portion is used to cover the open wound, and a piece of fascia lata is utilised to replace the missing segment of the Achilles tendon. The skin defect ranged from 5 x 2.5 to 7 x 5 cm, and the tendon loss measured from 3.5 to 5.5 cm in length. All of the patients showed satisfactory functional results with a follow-up period from 3 to 9 months. The advantages of the procedure are that: it is a single-staged operation; it promotes rapid healing of the tendo Achilles since the tendon substitute is well vascularised; it is adaptable to a wide range of defect sizes and shapes; it can be performed in the supine position without the need for postural change; and it can restore good contour and causes minimal morbidity at the donor site.

Copyright 2000 The British Association of Plastic Surgeons.

[PubMed - indexed for MEDLINE]
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