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Partial and Complete Reconstruction of Achilles Tendon Defects with the Fasciocutaneous Infragluteal Free Flap

Papp, Christoph M.D.; Todoroff, Boris P. M.D.; Windhofer, Christian M.D.; Gruber, Sabine M.D.

Plastic and Reconstructive Surgery: September 1st, 2003 - Volume 112 - Issue 3 - p 777-783
doi: 10.1097/01.PRS.0000073975.01321.8B
ORIGINAL ARTICLES
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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.

Salzburg and Vienna, Austria

From the Department of Plastic and Reconstructive Surgery, Hospital of the Barmherzigen Brüder.

Received for publication September 12, 2002;

revised October 29, 2002.

Christoph Papp, M.D.

Department of Plastic and Reconstructive Surgery

Hospital of the Barmherzigen Brüder

Kajetanerplatz 1

A-5020 Salzburg, Austria

plastchir@chpapp.at

©2003American Society of Plastic Surgeons