Bipedicled flap for the reconstruction of soft tissue defects of the Achilles tendon

Annals of Plastic Surgery
Chin-Ta LinShun-Cheng Chang

Abstract

Soft tissue defects exposing the Achilles tendon are common in patients who have undergone trauma or in those with pressure ulcers associated with vascular diseases. The purpose of this article was to present our experience of 11 patients who underwent reconstruction of soft tissue defects of the Achilles tendon using bipedicled fasciocutaneous flaps. Between August 2008 and August 2012, 11 patients were admitted to our hospital, presenting with soft tissue defects overlying the Achilles tendon. After adequate debridement, the 11 patients underwent bipedicled fasciocutaneous flap placement to resurface the complex soft tissue defects and provide a gliding surface for the exposed Achilles tendon. The patients' age, comorbidity, etiology, defect size and location, wound culture, skin graft size, complications, surgery duration, and follow-up period were reviewed. The 11 fasciocutaneous bipedicled flaps survived completely, and the wounds healed satisfactorily at a mean follow-up period of 20.9 months (range, 6-48 months). Only 1 flap was complicated with wound dehiscence and superficial necrosis of its lateral edge, which healed conservatively. The donor sites were covered with split-thickness skin grafts and healed well without ...Continue Reading

References

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Nov 18, 2005·Journal of Reconstructive Microsurgery·Isao KoshimaHirotaka Asato
Dec 6, 2005·Plastic and Reconstructive Surgery·Ulrich KneserRaymund E Horch
Aug 19, 2007·Plastic and Reconstructive Surgery·Shi-Min ChangWilliam C Lineaweaver

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