title: A vascularised gracilis flap with tibial bone for the reconstruction of the Achilles tendon.
abstract: Rupture of the Achilles tendon is a very common trauma. Reconstruction of a chronic Achilles tendon defect is challenging for reconstructive surgeons, and several methods have been described. The ideal reconstruction would result in the patients resuming the activity level they were accustomed to before the injury. In our patient, the Achilles tendon was reconstructed using the gracilis muscle flap, and the flap was fixed using a fragment of the tibial bone, yielding satisfactory results. In this report, we describe this procedure employed and provide a description of the case.
authors.affiliation: Department of Plastic and Reconstructive Surgery, National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tachikawa, Tokyo, Japan. yumiko3180917@yahoo.co.jp
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Uchikawa
authors.forename: Masaki
authors.initials: M
authors.lastname: Yazawa
authors.forename: Kazuo
authors.initials: K
authors.lastname: Kishi
mesh_terms: D000125:Achilles Tendon / Q000293:injuries* / Q000601:surgery*; D000328:Adult; D001265:Athletic Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D013708:Tendon Injuries / Q000601:surgery*; D013977:Tibia / Q000637:transplantation*
keywords: Fragment of tibial bone; Gracilis muscle flap; Reconstruction of Achilles tendon