Title

Free-flap coverage of the Exposed Achilles tendon.

Publication/Presentation Date

4-1-1989

Abstract

Posterior skin loss of the distal lower leg enhances the risk of exposure of the Achilles tendon. Most commonly, these wounds are a sequela to peripheral vascular insufficiency or else posttraumatic in origin. As a consequence, local flaps or skin grafts frequently are inadequate options for achieving coverage. Free-tissue transfers have proven to be a reasonable alternative in these situations for preservation of tendon function or even limb salvage. In this series of 12 patients, small defects were best covered with fasciocutaneous flaps, whereas the larger and usually chronic, concomitantly suppurating wounds required muscle flaps. Eighty-three percent (10 of 12) of patients remained ambulatory with healed wounds, obviating the need for extremity amputation.

Volume

83

Issue

4

First Page

710

Last Page

716

ISSN

0032-1052

Disciplines

Other Medical Specialties | Surgery

PubMedID

2648428

Department(s)

Department of Surgery, Department of Surgery Faculty

Document Type

Article