Reconstruction of Achilles tendon using vascularised fascia lata with free lateral thigh flap

Inoue, Tatsuya; Tanaka, Ichiro; Imal, Keisuke; Hatoko, Mitsuo

doi:10.1016/0007-1226(90)90199-a

Cited by 73 publications

(45 citation statements)

References 6 publications

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“…Simultaneous transfer of a free anterolateral thigh flap and fascia for reconstruction of the Achilles tendon has been reported. 12,13 One-stage reconstruction with a vascularized tendon graft has the advantages of faster healing and higher resistance to infection. However, transfer of composite free flap and ten- don is not the first choice for patella reconstruction, because vessel anastomosis in free tissue transfer is difficult in the knee region, as the patient is in a supine position.…”

Section: Discussionmentioning

confidence: 99%

Distally Based Anterolateral Thigh Flap: An Anatomic and Clinical Study

Pan

Shieh

et al. 2004

Plastic and Reconstructive Surgery

113

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The distally based anterolateral thigh flap has been used for coverage of soft-tissue defects of the knee and upper third of the leg. This flap is based on the septocutaneous or musculocutaneous perforators derived from the lateral circumflex femoral system. The purpose of this study was to examine the results of anatomical variations of the descending branch of the lateral circumflex femoral artery and the retrograde blood pressure of the descending branch of the lateral circumflex femoral artery so that the surgical technique for raising and transferring a distally based anterolateral thigh flap to the knee region could be improved. The authors have actually used this flap in three cases. In 11 thighs of six cadavers, the descending branch of the lateral circumflex femoral artery had a rather consistent connection with the lateral superior genicular artery or profunda femoral artery in the knee region. The pivot point, located at the distal portion of the vastus lateralis muscle, ranges from 3 to 10 cm above the knee. In their three cases, the maximal flap size was 7.0 x 16.0 cm and was harvested safely, without marginal necrosis. The mean pedicle length was 15.2 +/- 0.7 cm (range, 14.5 to 16 cm). The average proximal and distal retrograde blood pressure of the descending branch of the lateral circumflex femoral artery was also studied in another 11 patients, and the anterolateral thigh flap being used for reconstruction of head and neck defects showed 58.3 and 77.7 percent of proximal antegrade blood pressure, respectively. The advantages of this flap include a long pedicle length, a sufficient tissue supply, possible combination with fascia lata for tendon reconstruction, and favorable donor-site selection, without sacrifice of major vessels or muscles.

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Section: Discussionmentioning

confidence: 99%

Distally Based Anterolateral Thigh Flap: An Anatomic and Clinical Study

Pan

Shieh

et al. 2004

Plastic and Reconstructive Surgery

113

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“…The use of a TFL autograft has most commonly been reported for reconstruction of Achilles tendon deficits (32)(33)(34)(35)(36)(37)(38)(39). Given the amount of TFL that can be harvested, it has been found to be an optimal graft for use when a large width or length is required for reconstruction (40,41).…”

Section: Discussionmentioning

confidence: 99%

“…Achilles tendon reconstruction with TFL has been shown to result in a return to function with minimal difficulty with ambulation 24 months postoperatively. Only mild loss in the plantar flexion and dorsiflexion strength of the ankle and plantar flexion of the knee compared with the contralateral limb has been reported (32)(33)(34)(35)(36)(37)(38)(39). Both gross and histologic examinations performed at 30 months postoperatively have shown incorporation of the TFL autograft to the extent that it resembles normal Achilles tendon structure (36,39).…”

Section: Discussionmentioning

confidence: 99%

Peroneal Tendon Reconstruction and Coverage for Treatment of Septic Peroneal Tenosynovitis: A Devastating Complication of Lateral Ankle Ligament Reconstruction With a Tendon Allograft

Schade¹,

Harsha

Rodman³

et al. 2016

The Journal of Foot and Ankle Surgery

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“…It has also been used to reconstruct the Achilles tendon. [4][5][6] It has a long vascular pedicle and is relatively large. It can be harvested as a combined flap with the vascularised femoral fascia, iliotibial band, iliac bone, muscle, etc.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of the Achilles Tendon and Overlying Soft Tissue Using an Anteromedial Thigh Flap for a Post-Burn Pes Equinus Deformity: A Case Report

Naganawa¹,

Ohno²,

Ohnishi³

et al. 2009

J Orthop Surg (Hong Kong)

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We present a 36-year-old man with a severe pes equinus deformity of the ankle and an intractable ulcer over the Achilles tendon after a 4th-degree burn. He underwent a one-stage reconstructive surgical procedure using an anteromedial thigh flap with its vascularised fascia. After lengthening of the Achilles tendon and posterior release of the ankle, the anteromedial thigh fasciocutaneous flap was transferred. The ischaemic Achilles tendon was wrapped with the vascularised femoral fascia for vascularisation and reinforcement. The skin defect was covered with the skin paddle of the combined flap. There were no postoperative complications. At the 3-year follow up, the range of movement of the ankle was almost normal. The patient was able to walk and climb stairs without support, and the ulcer was cured.

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Reconstruction of Achilles tendon using vascularised fascia lata with free lateral thigh flap

Cited by 73 publications

References 6 publications

Distally Based Anterolateral Thigh Flap: An Anatomic and Clinical Study

Distally Based Anterolateral Thigh Flap: An Anatomic and Clinical Study

Peroneal Tendon Reconstruction and Coverage for Treatment of Septic Peroneal Tenosynovitis: A Devastating Complication of Lateral Ankle Ligament Reconstruction With a Tendon Allograft

Reconstruction of the Achilles Tendon and Overlying Soft Tissue Using an Anteromedial Thigh Flap for a Post-Burn Pes Equinus Deformity: A Case Report

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