Reconstruction of soft tissue defects in the Achilles tendon region with perforator-based fasciocutaneous flaps

2013 ◽  
Vol 36 (11) ◽  
pp. 701-706 ◽  
Author(s):  
Nabi Mopuri ◽  
Vasu Karri ◽  
Nakul Patel ◽  
Niri Niranjan
Keyword(s):  
Soft Tissue ◽  
Achilles Tendon ◽  
Soft Tissue Defects ◽  
Fasciocutaneous Flaps ◽  
Tissue Defects

The Treatment of Complex Motorcycle Spoke Injuries in Children

2018 ◽  
Vol 108 (5) ◽  
pp. 409-418
Author(s):  
Jiasharete Jielile ◽  
Pengfei Li ◽  
Wulan Bahetiya ◽  
Aynaz Badelhan ◽  
Bayixiati Qianman ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Achilles Tendon ◽  
Effective Treatment ◽  
Distraction Osteogenesis ◽  
External Fixator ◽  
Soft Tissue Defects ◽  
Third Stage ◽  
Length Width ◽  
Age Range ◽  
Tissue Defects

Motorcycle spoke injuries involving the soft tissue, Achilles tendon, and calcaneal defects are rare in children. Currently, calcaneal defects are very challenging to treat. Multiple methods have been used in clinical practice; however, an effective treatment has yet to be established, especially when Achilles tendon and soft-tissue defects are also present. It is important to address this condition, because the calcaneus plays a key role in standing and gait. Unsatisfactory treatment of calcaneal defects may significantly decrease patients' quality of life (eg, by limiting mobility). In this article, we report the effective treatment of calcaneal defects in four children using distraction osteogenesis with an external fixator framework designed by the authors. From May 2014 to May 2015, four children (age range, 6–11 years) with defects of the Achilles tendon, soft tissue, and calcaneus resulting from a motorcycle accident were treated at our hospital. The Achilles tendon and soft-tissue defects were treated with second-stage reconstruction. In the third-stage surgery, osteotomy of the residual calcaneus was performed. A customized external fixator was used to lengthen the calcaneus at a rate of 1.5 mm/day in the posterior direction and reposition it by 40° in the inferior direction. In all four children, the calcaneus was lengthened by 5 cm. Distraction osteogenesis through external fixation is effective for restoring the length, width, and height of the calcaneus in children.

Combined Achilles Tendon and Soft Tissue Defects

2015 ◽  
Vol 74 (1) ◽  
pp. 121-125 ◽  
Author(s):  
Matthew L. Iorio ◽  
Kevin D. Han ◽  
Karen K. Evans ◽  
Christopher E. Attinger
Keyword(s):  
Soft Tissue ◽  
Achilles Tendon ◽  
Soft Tissue Defects ◽  
Tissue Defects

Bipedicled Flap for the Reconstruction of Soft Tissue Defects of the Achilles Tendon

2015 ◽  
Vol 74 (4) ◽  
pp. 484-487 ◽  
Author(s):  
Chin-Ta Lin ◽  
Shyi-Gen Chen ◽  
Tim-Mo Chen ◽  
Niann-Tzyy Dai ◽  
Shun-Cheng Chang
Keyword(s):  
Soft Tissue ◽  
Achilles Tendon ◽  
Soft Tissue Defects ◽  
Tissue Defects

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

2017 ◽  
Vol 10 (01) ◽  
pp. 049-051
Author(s):  
Osman Kelahmetoglu ◽  
Mustafa Gules ◽  
Nuh Elmadag ◽  
Ethem Guneren ◽  
Selma Sonmez Ergun
Keyword(s):  
Soft Tissue ◽  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Fascia Lata ◽  
Soft Tissue Defects ◽  
Anterolateral Thigh ◽  
Wound Healing Problems ◽  
Alt Flap ◽  
Tissue Defects

AbstractLoss 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.

Reconstruction of Soft-Tissue Defects of the Heel With Local Fasciocutaneous Flaps

2004 ◽  
Vol 52 (4) ◽  
pp. 380-384 ◽  
Author(s):  
J Benito-Ruiz ◽  
T Yoon ◽  
E Guisantes-Pintos ◽  
J Monner ◽  
J M. Serra-Renom
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Defects ◽  
Fasciocutaneous Flaps ◽  
Tissue Defects
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