J Reconstr Microsurg 2008; 24(2): 127-130
DOI: 10.1055/s-2008-1076090
© Thieme Medical Publishers

A Single-Stage Reconstruction of a Complex Achilles Wound with Modified Free Composite Lateral Arm Flap

Cheol-Hann Kim1 , Min-Seong Tark1 , Chang-Yong Choi1 , Sang-Gue Kang1 , Yong-Bae Kim1
  • 1Department of Plastic and Reconstructive Surgery, College of Medicine, Soon Chun Hyang University, Seoul, Korea
Further Information

Publication History

Publication Date:
29 April 2008 (online)

ABSTRACT

Composite defect of the posterior aspect of the heel, including the Achilles tendon, usually is very difficult to reconstruct as we face the problems of controlling infection, resurfacing the deficient skin defect, and restoring plantar flexion. With the latest advances in microsurgery, several free composite flaps have been used to reconstruct the defect in the Achilles tendon region to achieve stable and functional soft tissue coverage. We report such a single-stage reconstruction of a complex Achilles wound using the modified neurosensory lateral arm free flap including the triceps tendon strip and the posterior cutaneous nerve. Authors' rolled-up triceps tendon strip method is presented for the one-stage reconstruction of the Achilles tendon and soft tissue defect, providing good contour, strong tension, and protective sensation. The follow-up has proved a satisfactory outcome.

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Min-Seong TarkM.D. 

Department of Plastic and Reconstructive Surgery, College of Medicine, Soon Chun Hyang University Hospital

657, Hannam-dong, Yongsan-gu, Seoul, 420-767, Korea