Skip to main content

Advertisement

Log in

Reconstruction of an Achilles tendon skin defect using a local fascial flap

  • Case reports
  • Published:
European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

We report a case in which a distally based fascial turnover flap supplied by the perforators of the posterior tibial and peroneal arteries was used to resurface a sizeable skin defect overlying the Tndo-Achilles. The flap can be raised easily with minimal donor site morbidity and provides a good gliding surface for the underlying tendon without adding unnecessary bulk.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Vasconez LO, Bostwick J, McCraw J (1974) Coverage of exposed bone by muscle transposition and skin grafting. Plast Reconstr Surg 53:526

    Google Scholar 

  2. Hartrampf CR Jr, Scheflan M, Bostwick J (1980) The flexor digitorum brevis muscle island pedicle flap: a new dimension in heel reconstruction. Plast Reconstr Surg 66:264

    Google Scholar 

  3. Thatte RL, Patil D, Talwar P (1983) Deepithelialised “turnover” axial pattern flaps in the lower extremity. Br J Plast Surg 36:327

    Google Scholar 

  4. Grabb BC, Argenta LC (1981) The lateral calcaneal artery skin flap. Plast Reconstr Surg 68:723

    Google Scholar 

  5. Holmes J, Rayner CRW (1984) Lateral calcaneal artery island flaps. Br J Plast Surg 37:402

    Google Scholar 

  6. Yanai A, Park S, Iwao T, Nakamura N (1985) Reconstruction of a skin defect of the posterior heel by a lateral calcaneal flap. Plast Reconstr Surg 75:642

    Google Scholar 

  7. Masquelet AC, Beveridge J, Romana C, Gerber C (1988) The lateral supramalleolar flap. Plast Reconstr Surg 81:74

    Google Scholar 

  8. Donski PK, Fogdestam I (1983) Distally based fasciocutaneous flap from the sural region. Scand J Plast Reconstr Surg 17:191

    Google Scholar 

  9. Amarante J, Costa H, Reis J, Scares R (1988) A new distally based fasciocutaneous flap of the leg. Br J Plast Surg 39:338

    Google Scholar 

  10. Brent B, Upton J, Acland RD, Shaw WW, Finsetz FJ, Rogers C, Pearl RM, Hentz VR (1985) Experience with the temporoparietal fascial free flap. Plast Reconstr Surg 76:177

    Google Scholar 

  11. Carriquiry C, Costa A, Vasconez LO (1985) An anatomic study of the septocutaneous vessels of the leg. Plast Reconstr Surg 76:354–361

    Google Scholar 

  12. Ponten BC (1981) The fasciocutaneous flap: it's use in soft tissue defects of the lower leg. Br J Plast Surg 34:215

    Google Scholar 

  13. Barclay TL, Cardoso E, Sharpe DT, Crockett DJ (1982) Repair of lower leg injuries with fasciocutaneous flaps. Br J Plast Surg 35:127

    Google Scholar 

  14. Thatte RL, Laud N (1984) The use of the fascia of the lower leg as a roll-over flap; it's possible clinical applications in reconstructive surgery. Br J Plast Surg 37:38

    Google Scholar 

  15. Walton RL, Matory WE Jr. Petry JJ (1985) The posterior calf fascial free flap. Plast Reconstr Surg 76:914

    Google Scholar 

  16. Lees V, Townsend PLG (1992) Use of pedicled fascial flap based on septocutaneous perforators of the posterior tibial artery for repair of distal lower limb defects. Br J Plast Surg 45:141

    Google Scholar 

  17. Lin S-D, Lai C-S, Chou C-K, Tsai C-W, Tsai C-C (1994) Reconstruction of soft tissue defects of the lower leg with the distally based medial adipofascial flap. Br J Plast Surg 47:132

    Google Scholar 

  18. Upton J, Baker TM, Shoen SL, Wolfort F (1995) Fascial flap coverage of Achilles tendon defects. Plast Reconstr Surg 95:1056–1061

    Google Scholar 

  19. Le Hull G-C, Midy D, Chauveaux D (1985) Anatomic basis of medical radiological and surgical techniques. Surg Radiol Anat 10:5

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fong, E.P., Papini, R.P.G., McKiernan, M.V. et al. Reconstruction of an Achilles tendon skin defect using a local fascial flap. Eur J Plast Surg 20, 266–269 (1997). https://doi.org/10.1007/BF01159493

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01159493

Key words

Navigation