Publication: Double-Layer Reconstruction of the Achilles- Tendon Using a Modified Lindholm-s Technique and Vascularized Fascia Lata
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Date
2018-04-01T00:00:00Z
Authors
Kelahmetoglu, OSMAN
Gules, Mustafa Ekrem
Elmadag, Nuh Mehmet
Ergun, Selma Sonmez
Guneren, Ethem
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Abstract
Loss of the Achilles- tendon with overlying soft tissue and skin defects remains a complex reconstructive challenge. Herein we present our experience using a free composite anterolateral thigh (ALT) flap with vascularized fascia lata and a modified Lindholm-s technique to repair the Achilles- tendon. A 37-year-old man suffered from tertiary Achilles- tendon rupture. For reconstruction, the free composite ALT flap with vascularized fascia lata was used to wrap Achilles- tendon. A modified Lindholm-s technique was used to cover overlying soft tissue defects. The patient was followed up for 12 months. No wound healing problems were reported, and the patient was able to walk and return to his daily ambulating activities without any support after 5 months postoperatively. This technique may be useful to achieve satisfactory outcomes in patients with ruptured Achilles- tendons following tertiary repair.
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Kelahmetoglu O., Gules M. E. , Elmadag N. M. , Guneren E., Ergun S. S. , -Double-Layer Reconstruction of the Achilles- Tendon Using a Modified Lindholm-s Technique and Vascularized Fascia Lata-, JOURNAL OF HAND AND MICROSURGERY, cilt.10, ss.49-51, 2018