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J Hand Microsurg 2018; 10(01): 049-051
DOI: 10.1055/s-0037-1608745
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Double-Layer Reconstruction of the Achilles’ Tendon Using a Modified Lindholm's Technique and Vascularized Fascia Lata

Osman Kelahmetoglu
1   Department of Plastic, Reconstructive, and Aesthetic Surgery, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey
,
Mustafa Ekrem Gules
1   Department of Plastic, Reconstructive, and Aesthetic Surgery, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey
,
Nuh Mehmet Elmadag
2   Department of Orthopaedics and Traumatology, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey
,
Ethem Guneren
1   Department of Plastic, Reconstructive, and Aesthetic Surgery, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey
,
Selma Sonmez Ergun
1   Department of Plastic, Reconstructive, and Aesthetic Surgery, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey
› Author Affiliations
Further Information

Publication History

Received: 19 September 2017

Accepted: 23 October 2017

Publication Date:
30 November 2017 (online)

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Abstract

Loss of the Achilles’ tendon with overlying soft tissue and skin defects remains a complex reconstructive challenge. Herein we present our experience using a free composite anterolateral thigh (ALT) flap with vascularized fascia lata and a modified Lindholm's technique to repair the Achilles’ tendon. A 37-year-old man suffered from tertiary Achilles’ tendon rupture. For reconstruction, the free composite ALT flap with vascularized fascia lata was used to wrap Achilles’ tendon. A modified Lindholm's technique was used to cover overlying soft tissue defects. The patient was followed up for 12 months. No wound healing problems were reported, and the patient was able to walk and return to his daily ambulating activities without any support after 5 months postoperatively. This technique may be useful to achieve satisfactory outcomes in patients with ruptured Achilles’ tendons following tertiary repair.

Keywords

Achilles’ tendon - rupture - anterolateral thigh flap - fascia lata - Lindholm's technique
 

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