Single-Stage Reconstruction of Soft-Tissue Defects Including the Achilles Tendon Using the Dorsalis Pedis Arterialized Flap Along with the Extensor Digitorum Brevis as Bridge Graft

Propellar flap: safe, reliable option for coverage of exposed tendo achilles

“…Various flaps have been described including the inferiorly based pedicled flap, reverse sural flap, islanded pedicled flaps, perforator flaps, propeller flaps and free flaps. [3][4][5][6][7][8][9][10][11]22 Free flaps are suitable for more extensive trauma, major avulsions and long defects, the procedure needs advanced skills, instrumentation, equipment and prolonged operating time. For moderate sized defects and majority of cases local flaps serve the purpose.…”

“…Various flaps have been described in literature for cover over TA like distally based skin flaps, advancement flap, free tissue transfers and islanded flaps. [3][4][5][6][7][8][9][10][11] The advent of islanded propeller flaps has changed the approach to reconstruction in general. Presence of abundance of perforators in the lower third of the leg arising from the posterior tibial and peroneal vessels is well documented.…”

One-stage treatment of deep infection following repair of Achilles tendon rupture with flexor hallucis longus transfer

“…Recently, few methods of one-stage reconstruction using free or local flap with or without tendon augmentation have been also reported [2][3][4]. In these previously reported methods, tendon for connection of the defect in Achilles tendon was transferred only with soft tissue coverage with flaps, due to high probability of recurrence of infection with tendon transfer after debridement [2,3,9]. Our report is different in that we have transferred tendon to connect the defect in Achilles tendon after debridement and primarily closed the wound, using the overlying skin over the infected tendon area.…”

Single-Stage Achilles Tendon Reconstruction Using a Composite Sensate Free Flap of Dorsalis Pedis and Tendon Strips of the Extensor Digitorum Longus in a Complex Wound

“…In addition, the reconstruction of the posterior heel, including a wide defect of the Achilles tendon, is difficult because of complicated infections, soft-tissue deficiencies in terms of coverage, and the functional aspects and defects of the tendon itself. [1][2][3][4] Various methods of tendon transfer and tendon graft have been reported as single-stage procedures, in combination with local flaps or island flaps for coverage. 1,3,5,6 With advances in microsurgical techniques and refinements, several free composite flaps including tendon, fascia, or nerve have been used in single-stage reconstructions of large defects in this area without causing further damage to the traumatized leg.…”

“…[1][2][3][4] Various methods of tendon transfer and tendon graft have been reported as single-stage procedures, in combination with local flaps or island flaps for coverage. 1,3,5,6 With advances in microsurgical techniques and refinements, several free composite flaps including tendon, fascia, or nerve have been used in single-stage reconstructions of large defects in this area without causing further damage to the traumatized leg. 2,4,[7][8][9][10][11][12][13][14][15] We report a single-stage reconstruction of the Achilles tendon region with a composite sensate free flap of dorsalis pedis and tendon strips of the extensor digitorum longus, which may be advantageous in situations involving a large Achilles tendon defect.…”