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
A-5020 Salzburg, Austria