title: Single-Stage Reconstruction of Achilles Tendon and Overlying Tissue With the Extended Temporoparietal Fasciagaleal Flap--23-Year Follow-Up and the Review of the Literature.
abstract: In the absence of an established "gold standard" for complex Achilles tendon and regional soft tissue defect reconstruction, many techniques have been advocated. Two cases describing a novel technique of successful repair with the review of literature are presented. The underlying problem consisted of Achilles tendon necrosis with local inflammation in the first case and tendon contracture with foot malposition due to a burn injury in the other. Each patient, upon debridement, had a 6-cm Achilles tendon defect with associated overlying soft tissue deficits reconstructed with an extended temporoparietal fasciagaleal flap and a split thickness skin graft. Both cases highlight the successful functional and aesthetic quality as well as the durability of concurrent vascularized tendon and soft tissue replacement and coverage in 2 distinct clinical scenarios.
authors.affiliation: From the Division of Plastic Surgery, Department of Surgery, University of California San Diego, San Diego, CA.
authors.forename: Marek
authors.initials: M
authors.lastname: Dobke
authors.forename: Ahmed
authors.initials: A
authors.lastname: Suliman
authors.forename: Gina A
authors.initials: GA
authors.lastname: Mackert
authors.forename: Fernando A
authors.initials: FA
authors.lastname: Herrera
authors.forename: Robert
authors.initials: R
authors.lastname: Singer
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Nelson
mesh_terms: D000125:Achilles Tendon / Q000293:injuries* / Q000601:surgery; D000328:Adult; D002056:Burns / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000601:surgery*; D006257:Head; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps; D013708:Tendon Injuries / Q000601:surgery*