One-stage reconstruction of isolated and combined tendon defects with the vascularized adductor magnus tendon graft: Surgical technique and preliminary results

Extensor mechanism reconstruction in the setting of infected total knee arthroplasty

“…Due to the extensive soft tissue releases associated with revision surgeries often requiring constrained hinged implants, stiffness is not frequently a significant impediment to patient function and outcome (14). Vascularised, autologous tissue is preferable over alloplastic implants in the presence of infection (15). Around the knee, two of the most commonly described vascularised autologous tissue reconstructions are the gastrocnemius muscle with attached Achilles tendon, and a tube of fascia created as part of an anterolateral thigh (ALT) flap.…”

Predictors of Clinical Outcome after Reconstruction of Complex Soft Tissue Defects Involving the Achilles Tendon with the Composite Anterolateral Thigh Flap with Vascularized Fascia Lata

“…9 Various composite free flaps for the reconstruction of the soft tissue envelope and the Achilles tendon in a one-stage procedure have been described, including the groin flap, lateral arm flap, latissimus dorsi flap, gracilis flap, radial forearm flap with flexor carpi radialis tendon, vascularized adductor magnus tendon graft, and anterolateral thigh flap with vascularized fascia lata (ALT-FL flap). [10][11][12][13][14][15][16][17] However, with regard to the available data on the overall ankle range of motion, vascularized tendon reconstructions have not yet shown superior outcomes over avascular tendons. 5 According to a previously published study, the age and the body mass index (BMI) have shown to be significant predictors for a reduced functional outcome and a higher degree of symptoms 12 months after surgical and nonsurgical treatment of Achilles tendon ruptures.…”