J Korean Foot Ankle Soc.  2018 Sep;22(3):127-130. 10.14193/jkfas.2018.22.3.127.

Anterior Lateral Thigh Free Flap and Achilles Tendon Reconstruction Surgery for Contact Dermal Burn of Heel Including Achilles Tendon: A Case Report -Surgical Treatment for Functional Recovery-

• Park JS
• Baek SH
• Kim GL

• KMID: 2428671
• DOI: http://doi.org/10.14193/jkfas.2018.22.3.127

Abstract

A 3rd degree burn on the heel including the Achilles tendon is vulnerable and requires active treatment to improve the functional outcomes. Previously, there have been a few treatments on severe burns, such as amputation, debridement or simple skin graft. The cooperative technique of an anterior lateral thigh flap with Achilles tendon reconstruction can be an innovative procedure that preserves the major arteries. The authors review a case and report the clinical outcome.

Keyword

Achilles tendon; Burns; Reconstructive surgical procedures; Surgical flaps

MeSH Terms

Achilles Tendon*
Amputation
Arteries
Burns*
Debridement
Free Tissue Flaps*
Heel*
Reconstructive Surgical Procedures
Skin
Surgical Flaps
Thigh*
Transplants

Figure

• 

  Figure 1. Photograph taken before the surgery shows a large soft tissue defect of posteromedial side of ankle and heel area.

• 

  Figure 2. The sagittal images of magnetic resonance imaging show Achilles tendon defect (A) and damaged soft tissue (B).

• 

  Figure 3. (A) Photograph of necrotic tissues and nonfunction of Achilles tendon. (B) The damaged Achilles tendon was removed from the calcaneus to one third of distal lower leg.

• 

  Figure 4. (A) An allotendon of Achilles tendon and allobone used in reconstruction. (B) An intraoperative lateral image of allotendon and allobone. (C) Flap donor site of anterior surface of thigh.

• 

  Figure 5. Gross photography (A) and plantar area (B) of foot flap site of 1 month after the surgery shows no complications. Posteroanterior view (C) and laterial view (D) of lower leg gross photography of 3 months after the surgery shows good healing and no complications.

• 

  Figure 6. (A) Preoperative simple lateral radiography shows soft tissue damage. (B) Postoperative simple lateral radiography shows fixation of allobone to calcaneus with screws. And ankle joint was immobilized with Steinmann pins.

Reference

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