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
Published In/Presented At
Hallock, G. G. (1989). Free-flap coverage of the exposed Achilles Tendon. Plastic And Reconstructive Surgery, 83(4), 710-716.
Disciplines
Other Medical Specialties | Surgery
PubMedID
2648428
Department(s)
Department of Surgery, Department of Surgery Faculty
Document Type
Article