CC BY-NC-ND 4.0 · Indian J Plast Surg 2012; 45(03): 572-575
DOI: 10.4103/0970-0358.105983
Case Report
Association of Plastic Surgeons of India

Functional reconstruction of complex tendo Achilles defect by free latissimus dorsi muscle flap

Vaibhav Khanna
Department of Plastic, Craniofacial and Microsurgery, Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
Department of Plastic and Reconstructive and Aesthetic Surgery, Sahara Hospital, Lucknow, Uttar Pradesh, India
,
Romesh Kohli
Department of Plastic and Reconstructive and Aesthetic Surgery, Sahara Hospital, Lucknow, Uttar Pradesh, India
,
Satendar Tulsi
Maxillo-facial Surgery, Sahara Hospital, Lucknow, Uttar Pradesh, India
,
Sandeep Garg
Orthopaedic Surgery, Sahara Hospital, Lucknow, Uttar Pradesh, India
,
Divya Upadhyaya
Department of Plastic, Craniofacial and Microsurgery, Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
› Author Affiliations
Further Information

Publication History

Publication Date:
21 November 2019 (online)

ABSTRACT

Managing the complex tendo Achilles defect involves reconstructing the Achilles tendon as well as providing soft tissue cover to the heel area. The advent of microsurgery has revolutionised the reconstruction of this difficult defect providing a number of options to the reconstructive surgeon. We present a case of complex tendo Achilles defect reconstructed by the latissimus dorsi free flap.

 
  • 1 Donald S. The latissimus dorsi muscle and musculo-cutaneous flap. In: Donald S, editor. Atlas of microsurgical composite tissue transplantation. 1 st ed. Philadelphia: W. B Saunders Company; 1996. p. 205-19.
  • 2 Chalmers R, Tare M, Niranjan N. Vascularised achilles tendon graft reconstruction - by the tendon for the tendon. J Plast Reconstr Aesthet Surg 2010;63:273-6.
  • 3 Taniguchi Y, Tamaki T. Reconstruction of the Achilles tendon and overlying skin defect with a medial plantar flap and fascia lata graft. J Reconstr Microsurg 2000;16:423-5.
  • 4 Dumont CE, Kessler J. A composite medial plantar flap for the repair of an Achilles tendon defect: A case report. Ann Plast Surg 2001;47:666-8.
  • 5 Rajendra Prasad JS, Cunha-Gomes D, Chaudhari C, Bhathena HM, Desain S, Kavarana NM. The venoneuroadipofascial pedicled distally based sural island myofasciocutaneous and muscle flaps: Anatomical basis of a new concept. Br J Plast Surg 2002;5:203- 9.
  • 6 Taylor GI, Townsend P. Composite free flap and tendon transfer: An anatomical study and a clinical technique. Br J Plast Surg 1979;32:170-83.
  • 7 Wei FC, Chen HC, Chuang CC, Noordhoff MS. Reconstruction of Achilles tendon and calcaneus defects with skin-aponeurosis-bone composite free tissue from the groin region. Plast Reconstr Surg 1988;81:579-89.
  • 8 Inoue T, Tanaka I, Imai K, Hatoko M. Reconstruction of Achilles tendon using vascularised fascia lata with free lateral thigh flap. Br J Plast Surg 1990;43:728-31.
  • 9 Sauerbier M, Erdmann D, Schepler H, Bickert B, Germann G. The scapular/parascapular flap in reconstruction of distal lower extremity soft tissue defects over the Achilles tendon. Eur J Plast Surg 1998;21:333-7.
  • 10 Lee JW, Yu JC, Shieh SJ, Liu C, Pai JJ. Reconstruction of Achilles tendon and overlying soft tissue using the antero-lateral thigh free flap. Br J Plast Surg 200;53:574-7.
  • 11 Lee HB, Lee DH, Oh SH, Tark KC, Kim SW, Chung YK, et al. Simultaneous reconstruction of the Achilles tendon and soft tissue defect using only a latissimus dorsi muscle free flap. Plast Reconstr Surg 1999;104:111-9.
  • 12 Gordon L, Buncke HJ, Alpert BS. Free latissimus dorsi muscle flap with split thickness skin graft cover: A report of 16 cases. Plast Reconstr Surg 1982;70:173-8.
  • 13 Bailey BN. Latissimus dorsi flap - a practical approach. Ann Acad Med Singapore 1979;8:445-53.