Partial and complete reconstruction of Achilles tendon defects with the fasciocutaneous infragluteal free flap.

Papp, Christoph; Todoroff, Boris P; Windhofer, Christian; Gruber, Sabine · Plast Reconstr Surg · 2003

case_series · Level IV

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Abstract

Multiple attempts to repair the Achilles tendon can be associated with major soft-tissue defects of skin and tendon necessitating reconstruction with free flaps. In view of its specific anatomical characteristics, the fasciocutaneous infragluteal free flap is best suited for restoring sensibility and achieving nearly full function, including resumption of sporting activities, with minimum donor-site morbidity. The anatomy, dissection technique, and results of 100 percent successful skin and tendon defect reconstruction in seven patients are presented.

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