Reconstruction of the Achilles tendon and overlying soft tissue using antero-lateral thigh free flap

Jing Wei Lee, Jui Chin Yu, Shyh Jou Shieh, Cheng Liu, Jui Jung Pai

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Abstract

Reconstruction of combined loss of the Achilles tendon and overlying soft tissue was performed using an antero-lateral thigh free flap in three patients. The cutaneous portion is used to cover the open wound, and a piece of fascia lata is utilised to replace the missing segment of the Achilles tendon. The skin defect ranged from 5 x 2.5 to 7 x 5 cm, and the tendon loss measured from 3.5 to 5.5 cm in length. All of the patients showed satisfactory functional results with a follow-up period from 3 to 9 months. The advantages of the procedure are that: it is a single-staged operation; it promotes rapid healing of the tendo Achilles since the tendon substitute is well vascularised; it is adaptable to a wide range of defect sizes and shapes; it can be performed in the supine position without the need for postural change; and it can restore good contour and causes minimal morbidity at the donor site. (C) 2000 The British Association of Plastic Surgeons.

Original languageEnglish
Pages (from-to)574-577
Number of pages4
JournalBritish Journal of Plastic Surgery
Volume53
Issue number7
DOIs
Publication statusPublished - 2000 Jan 1

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All Science Journal Classification (ASJC) codes

  • Surgery
  • Otorhinolaryngology

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