Vascularised Achilles tendon graft reconstruction--by the tendon for the tendon.
The management of posterior heel defects whether the result of trauma or post-operative that result in a loss of the Achilles tendon and overlying skin is complex and challenging. Various techniques have been employed to reconstruct these compound defects often comprising of a free tissue transfer combined with a fascial tendon reconstruction. We present a single-stage method of Achilles tendon reconstruction based upon a local vascularised tendon graft combined with a free antero-lateral thigh flap transfer and a review of the current literature.
Chalmers
R
R
St Andrews Centre for Plastic Surgery & Burns, Broomfield Hospital, Chelmsford, Essex, CM1 7ET, UK. rlchalmers@doctors.org.uk
Tare
M
M
Niranjan
N
N
D000125:Achilles Tendon / Q000293:injuries / Q000601:surgery*; D000328:Adult; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D012086:Reoperation; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000209:etiology / Q000601:surgery*; D013710:Tendons / Q000098:blood supply / Q000637:transplantation*