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European Journal of Plastic Surgery

, Volume 26, Issue 6, pp 304–305 | Cite as

Reconstruction of iatrogenic skin defects of the Achilles tendon region: an analysis of 25 consecutive patients

  • Stefan O. P. HoferEmail author
Invited Commentary

Koski et al. describe their experience with treatment of a heterogenous group of 25 consecutive patients with iatrogenic skin defects of the Achilles tendon region. In their series they treated 25 patients with local skin defects after Achilles tendon surgery for rupture or chronic tendonitis. The methods of closure ranged from direct closure to free tissue transfer. Of the patients 12 needed one or two revisional surgeries as extensive as a free flap to achieve wound healing. The authors describe that all their patients returned to work within approximately two months. They conclude that reconstruction of these defects should be tailored to the defect in the individual patient.

The authors provide us with a frank description of their experience in treating a difficult clinical problem. Adequate treatment of non-healing wounds in the Achilles tendon area are challenging. This fact is clearly illustrated by their data where 14 revisional surgeries were needed in their 25 patients....

Keywords

Free Flap Vascular Pedicle Revisional Surgery Skin Defect Local Flap 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Hofer SOP, Mureau MAM, Roche NA, Flood SJ (2003) The anterolateral thigh (ALT) flap for esthetic reconstruction of large external skin defects in the face and forehead. Presentation at the 2nd Congress of the World Society for Reconstructive Microsurgery, June 11-14Google Scholar
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    Wei FC, Jain V, Celik N, Chen HC, Chuang DC, Lin CH (2002) Have we found an ideal soft tissue flap? An experience with 672 anterolateral thigh flaps. Plast Reconstr Surg 109, 2219–2226Google Scholar
  3. 3.
    Koshima I, Fukuda H, Utunomiya R, Soeda S (1989) The anterolateral thigh flap; variations in its pedicle. Br J Plast Surg 42, 260–262Google Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  1. 1.Department of Plastic, Reconstructive & Hand SurgeryErasmus University Medical Center RotterdamRotterdamThe Netherlands

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