scholarly journals Early mobilizing and dangling of the lower leg after one-stage reconstruction of Achilles tendon and overlying tissue defect using an anterolateral thigh flap with vascularized fascia lata

2017 ◽  
Vol 4 (1) ◽  
pp. 89-95 ◽  
Author(s):  
Masayuki Okochi ◽  
Masanori Momiyama ◽  
Hiromi Okochi ◽  
Kazuki Ueda
Keyword(s):  
Achilles Tendon ◽  
Lower Leg ◽  
Fascia Lata ◽  
Anterolateral Thigh Flap ◽  
Tissue Defect ◽  
One Stage ◽  
Anterolateral Thigh ◽  
One Stage Reconstruction

Achilles Tendon Region Defects: Delayed Composite Anterolateral Thigh Flap With Stripping of Fascia Lata: A Case Series

2020 ◽  
Vol 66 (12) ◽  
pp. 13-22
Author(s):  
Cesare Tiengo ◽  
Regina Sonda ◽  
Andrea Monticelli ◽  
Francesco Messana ◽  
Alberto Crema ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Achilles Tendon ◽  
Short Form ◽  
Case Series ◽  
Fascia Lata ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Reconstruction ◽  
Medical Outcomes ◽  
Anterolateral Thigh ◽  
Tissue Reconstruction

Defects of the Achilles tendon that include the surrounding soft tissue represent a challenge due to complex functionality and biomechanics. PURPOSE: The purpose of this study was to evaluate the functional and physical functioning score outcomes of patients following microsurgical reconstruction of the yarrow region, using a combination of objective, subjective, and semi-subjective measurements. METHODS: Between 2007 and 2018, 15 patients underwent delayed Achilles tendon region reconstruction with different anterolateral thigh flap types. Seven (7) patients underwent tendon and soft tissue reconstruction with a chimeric anterolateral thigh flap (ALT) and rolled-up fascia lata, and 8 patients underwent soft tissue reconstruction and only tendon coverage with fascia lata. Follow-up assessments included maximal range of motion (MROM) (plantarflexion and dorsiflexion), the American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale score, and the Medical Outcomes Study 36-item Short-Form Health Survey physical functioning subscore. RESULTS: A total of 15 patients (11 males and 4 females with a mean age of 39.86 years) were evaluated during a mean follow-up time of 23 months (SD = 7.12). The MROM for plantarflexion and dorsiflexion was 42.71 degrees (SD = 2.9) and 24.8 degrees (SD = 4.29), respectively, in patients who underwent composite ALT with a rolled-up fascia lata. The MROM for plantarflexion and dorsiflexion was 43 degrees (SD = 5.37) and 27.37 degrees (SD = 3.2), respectively, in patients who underwent fasciocutaneous ALT. The mean American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale score was 82 for the first group and 86.87 for the second, whereas the mean Medical Outcomes Study 36-item Short-Form Health Survey scores were 82.57 and 81.5, respectively, for the 2 groups. Statistical analysis showed no significant difference between the 2 groups. CONCLUSIONS: The results of this case series suggest that the single-stage composite reconstruction with a fasciocutaneous flap with or without a strip of fascia lata is a safe and reliable strategy for composite reconstruction of the Achilles tendon region. Additional studies to evaluate these outcomes and instruments to evaluate functioning are necessary.

One-stage reconstruction of large scalp defects: Anterolateral thigh flap

Microsurgery ◽  
2006 ◽  
Vol 26 (3) ◽  
pp. 155-159 ◽  
Author(s):  
Gaye Taylan Çalikapan ◽  
Serkan Yildirim ◽  
Tayfun Aköz
Keyword(s):  
Anterolateral Thigh Flap ◽  
One Stage ◽  
Scalp Defects ◽  
Anterolateral Thigh ◽  
One Stage Reconstruction

Single Stage Reconstruction of Posterior Soft Tissue Ankle Defects with a Free Anterolateral Thigh Flap and Rolled Tensor Fascia Lata for Functional Tendo-Achilles Reconstruction - A Case Report and Review of the Literature

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Bagirathan S ◽  
◽  
Ibrahim N ◽  
Patel NG ◽  
◽  
...  
Keyword(s):  
Soft Tissue ◽  
Achilles Tendon ◽  
Fascia Lata ◽  
Single Stage ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Reconstruction ◽  
Tensor Fascia Lata ◽  
Anterolateral Thigh ◽  
Tissue Reconstruction ◽  
Sural Artery

Soft tissue defects in the posterior ankle region with underlying Achilles tendon loss pose a reconstructive challenge to both Orthopaedic and Plastic surgeons. Such injuries can result in a severely debilitating sequelae for the patient, therefore reconstruction of the area must provide reliable function and durability with minimal complications and aesthetically pleasing results to enable normal foot wear. We describe the case of a twenty-seven year old male, who presented following a traumatic open rupture of the Achilles tendon and failed reverse sural artery flap. We performed a single stage composite soft tissue reconstruction with a free anterolateral thigh (ALT) flap and rolled vascularised Tensor Fascia Lata (TFL) for functional Achilles tendon reconstruction. The patient had no post-operative complications and was able to fully weight bear and dorsiflex his foot beyond ninety degrees at seven month follow-up. Whilst many options are available to reconstruct this area, we review the literature to illustrate the advantages of using this technique to achieve all of the above factors, and advocate for all foot and ankle surgeons to be aware of its use in their reconstructive repertoire.

scholarly journals One-Stage Reconstruction for Re-rupture of Achilles Tendon with Soft Tissue Infection: Using an Anterolateral Thigh Flap Incorporating a Vascularized Muscle Flap and a Strip of Iliotibial Tract

2018 ◽  
Vol 10 (02) ◽  
pp. 105-108
Author(s):  
Ryosuke Sato ◽  
Naohito Hibino ◽  
Masahiro Yamano ◽  
Shinji Yoshioka ◽  
Tomoya Terai ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Achilles Tendon ◽  
Soft Tissue Infection ◽  
Muscle Flap ◽  
Tissue Infection ◽  
Successful Outcome ◽  
Anterolateral Thigh Flap ◽  
Iliotibial Tract ◽  
One Stage ◽  
Anterolateral Thigh

AbstractReconstruction is challenging in a patient with loss of a segment of Achilles tendon and infection in the overlying soft tissue. Here the authors describe one-stage tendon reconstruction, using an anterolateral thigh free flap incorporating a vascularized muscle flap and a strip of iliotibial tract in a patient with re-rupture of an Achilles tendon and soft tissue infection. Postoperative immobilization of the affected ankle using an external fixator enabled us to observe the flap directly and reduce pressure on the flap. The patient had a successful outcome, with no difficulty in walking, running, or climbing stairs and no limitation of range of motion at the ankle joint postoperatively. This is a promising technique for reconstruction of the Achilles tendon and treatment of infection as a one-step procedure.

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