Treatment of infected Achilles tendinitis and overlying soft tissue defect using an anterolateral thigh free flap in an elderly patient: A case report

Medicine
Young-Keun Lee, Malrey Lee

Abstract

Infected segmental loss of the Achilles tendon with overlying soft tissue and skin defect remains a more complex reconstructive challenge. Here, we present a functional reconstruction of infected Achilles tendinitis with combined soft tissue defects using a free composite anterolateral thigh (ALT) flap with vascularized fascia lata in an elderly patient. A 71-year-old male patient was transferred to our department due to soft tissue defect of the left lower leg and infected Achilles tendinitis. The patient underwent incision and drainage of both lower legs with necrotizing fasciitis in another hospital 2 months ago. Physical examination revealed a 12 × 5 cm wound with exposed Achilles tendon over the posteromedial aspect of lower one-third of the leg. His wound culture grew methicillin-resistant Staphylococcus aureus (MRSA). All infected necrotic Achilles tendon with proximal muscle tissue was excised. The patient underwent successful Achilles tendon reconstruction and soft tissue coverage procedure with a 14 × 7 cm ALT flap with the fascia lata. At the 12-month follow-up, the patient resumed full daily activities, was able to squat, showed a range of motion at the ankle in the 15° dorsiflexion and 45° plantar flexion, and the ...Continue Reading

References

Nov 1, 1978·Plastic and Reconstructive Surgery·D E SaundersW Wittenborn
Feb 1, 1995·Annals of Plastic Surgery·J S Isenberg, S Fusi
Dec 17, 2008·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·P R J V C BoopalanSamuel B Chittaranjan
Nov 5, 2010·The Journal of Bone and Joint Surgery. American Volume·Patrick DuhamelEric Bey
Mar 14, 2012·Journal of Reconstructive Microsurgery·Philippe HoutmeyersStanislas Monstrey
Nov 17, 2012·Orthopaedics & Traumatology, Surgery & Research : OTSR·E FourniolsM-A Rousseau
Jul 22, 2016·The Journal of Bone and Joint Surgery. American Volume·Seung Hwan BaeSu-Young Bae

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Citations

Feb 13, 2019·Annales de chirurgie plastique et esthétique·C MonnerieN Kerfant
Jan 21, 2020·Zeitschrift für Orthopädie und Unfallchirurgie·Roslind Karolina HackenbergKristian Welle

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