title: Reconstruction of Achilles tendon defect with a free quadriceps bone-tendon graft without anastamosis.
abstract: We report a method of Achilles tendon reconstruction using a free quadriceps bone-tendon graft. The patient had a prior repair of a re-ruptured Achilles tendon, following which he developed massive necrosis of his skin and Achilles tendon leaving a 10 cm defect. First stage reconstruction consisted of soft tissue coverage of the skin defect with a sural fasciocutaneous flap. Reconstruction of the Achilles tendon followed, with the patellar bone block fixed to the calcaneus and the quadriceps tendon sutured proximally.
authors.affiliation: Harvard Combined Orthopaedic Surgery Program, Brigham and Women's Hospital, Boston, MA 02115, USA. chakash@aol.com
authors.forename: C S
authors.initials: CS
authors.lastname: Mudgal
authors.forename: T L
authors.initials: TL
authors.lastname: Martin
authors.forename: M G
authors.initials: MG
authors.lastname: Wilson
mesh_terms: D000125:Achilles Tendon / Q000293:injuries / Q000601:surgery*; D000368:Aged; D002111:Calcaneus / Q000601:surgery; D006801:Humans; D007866:Leg; D008297:Male; D010329:Patella / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012008:Recurrence; D012421:Rupture; D013524:Surgical Flaps; D013708:Tendon Injuries / Q000150:complications / Q000601:surgery; D013710:Tendons / Q000601:surgery*