title: Aesthetically and functionally satisfying reconstruction of an Achilles tendon and overlying skin defect in a 15 year old girl: a case report.
abstract: Achilles tendon and overlying soft tissue reconstruction presents an interdisciplinary challenge. In the literature many possible procedures are described, but each reconstruction in this region has its specific demands. Single stage reconstruction is normally pursued, but it is not always the best procedure for the patient, either aesthetically or functionally. We present a case of a 15 year old girl who suffered a soft tissue defect of 10cm×6cm in size at the area of the Achilles tendon due to a contact burn by an exhaust pipe during a motorcycle accident. For this case, reconstruction of the soft tissue defect using a free temporoparietal fascial flap (TPFF) and a full-thickness skin autograft was the best means to provide a satisfying result for both the patient and the surgeon.
authors.affiliation: Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Austria. Electronic address: wurzer_paul@gmx.at.
authors.forename: Paul
authors.initials: P
authors.lastname: Wurzer
authors.affiliation: Department of Paediatric and Adolescent Surgery, Medical University of Graz, Austria. Electronic address: robert.eberl@medunigraz.at.
authors.forename: Robert
authors.initials: R
authors.lastname: Eberl
authors.affiliation: Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Austria. Electronic address: kamolzlp@gmail.com.
authors.forename: Lars-Peter
authors.initials: LP
authors.lastname: Kamolz
authors.affiliation: Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Austria. Electronic address: daryousch.parvizi@klinikum-graz.at.
authors.forename: Daryousch
authors.initials: D
authors.lastname: Parvizi
authors.affiliation: Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Austria. Electronic address: thomas.rappl@klinikum-graz.at.
authors.forename: Thomas
authors.initials: T
authors.lastname: Rappl
authors.affiliation: Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Austria. Electronic address: office@spendel.at.
authors.forename: Stephan
authors.initials: S
authors.lastname: Spendel
mesh_terms: D000125:Achilles Tendon / Q000293:injuries* / Q000601:surgery; D000293:Adolescent; D016512:Ankle Injuries / Q000601:surgery; D002056:Burns / Q000601:surgery*; D004954:Esthetics; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D012421:Rupture / Q000601:surgery; D017695:Soft Tissue Injuries / Q000601:surgery; D013524:Surgical Flaps; D013708:Tendon Injuries / Q000601:surgery*; D016896:Treatment Outcome
keywords: Achilles tendon; Free temporoparietal fascial flap; Skin defect; Soft tissue reconstruction