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

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 Evidence: 4

Keywords: calcaneus, gastrocnemius, heel, soleus, surgery, wound coverage

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

Address 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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