Reconstruction of chronic Achilles tendon defects with posterior tibial perforator flap and soleus tendon graft: clinical series.

摘要

BACKGROUND: Reconstruction of chronic composite defects of the Achilles region is difficult, and many techniques have been proposed, most of which are technically complex. A simple and effective technique has not yet been described. METHODS: Eight patients with chronic composite defects of the Achilles tendon underwent reconstruction using a local tendon graft from the soleus tendon and a posterior tibial perforator flap in a single stage. Follow-up was 9 to 50 months. RESULTS: All reconstructions were successful, without flap loss, infections, or reruptures of the tendon. Minor skin graft loss over the flap was a complication in three cases. Patient satisfaction was uniformly high. CONCLUSION: The posterior tibial perforator flap combined with a local tendon graft from the soleus tendon is an effective and technically simple solution for reconstruction of chronic infected defects of the Achilles tendon of moderate size.