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Volume 49, Issue 1, Pages 86.e5-86.e10 (January 2010)


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Achilles Tendon Reconstruction after Sural Fasciocutaneous Flap Using Achilles Tendon Allograft with Attached Calcaneal Bone Block

Uel Hansen, MD1Corresponding Author Informationemail address, Melinda Moniz, MD1, Joseph Zubak, MD2, Jacinto Zambrano, MD3, Russell Bear, DO4

Abstract 

Addressing segmental loss of the Achilles tendon with overlying soft tissue loss is a serious challenge. We present a case of Achilles tendon reconstruction in a patient who had significant soft tissue loss as well as segmental loss of the tendon involving the calcaneal insertion. The staged reconstruction was undertaken with a combination of a sural fasciocutaneous flap and an Achilles tendon allograft with an attached calcaneal bone block.

Level of Clinical Evidence4

1 Orthopaedic Resident Physician, William Beaumont Army Medical Center, El Paso, TX

2 Orthopaedic Staff Physician, Foot and Ankle Surgery, William Beaumont Army Medical Center, El Paso, TX

3 Plastic Surgeon, William Beaumont Army Medical Center, El Paso, TX

4 Orthopedic Staff Physician, William Beaumont Army Medical Center, El Paso, TX

Corresponding Author InformationAddress correspondence to: Uel Hansen, MD, 6730 Bridge Way, Columbus, GA 31904.

 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(09)00348-2

doi:10.1053/j.jfas.2009.08.006


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