Soft tissue and tendon reconstruction after achilles tendon rupture: Adipofascial sural turnover flap associated with cryopreserved gracilis tendon allograft for complicated soft tissue and achilles tendon losses. A case report and literature review

Pier Camillo Parodi, Loredana Moretti, Giorgio Saggin, Fabrizio De Biasio, Vincenzo Alecci, Luca Vaienti

Research output: Contribution to journalArticlepeer-review

Abstract

Achilles tendon rupture is often complicated by skin substance loss around the tendon, which is a poorly-vascularized site. Treatment may be conservative or surgical, but the former is not generally accepted by the orthopedic community and is reserved for selected cases, while surgery remains the mostwidely-used approach. Soft tissue repair at this site is a crucial reconstruction problem, and becomes very complex if skin reconstruction has to be associated with a complex tendon repair. The Authors describe a new approach to the repair of Achilles tendon substance loss compounded by a soft tssue defect, using a cryopreserved gracilis tendon allograft in combination with a distally-based adipofascial sural flap.

Original languageEnglish
Pages (from-to)361-367
Number of pages7
JournalAnnali Italiani di Chirurgia
Volume77
Issue number4
Publication statusPublished - Jul 2006

Keywords

  • Achilles tendon
  • Distal leg reconstruction
  • Foot reconstruction
  • Sural flap
  • Tendon allograft

ASJC Scopus subject areas

  • Surgery

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