Abstract
Wide, full-thickness defects on the posterior aspect of the distal lower leg involving the Achilles tendon are usually repaired with free fasciocutaneous flaps or local skin flaps. The former require microvascular techniques; there is a donor-site scar due to skin grafting; and a longer operating time. The latter results in a wide scar near the donor defect. The authors developed a new reconstructive procedure using local fascia turned over to create a new Achilles tendon, and wrapping it with a posterior tibial adiposal island flap based on the dominant perforator of the posterior tibial artery, which was elevated from the medial aspect of the lower leg. The advantages of this method are that no donor scar appeared on the posterior aspect of the lower leg, and there was no need for microvascular techniques. This method is especially suitable for young women.
| Original language | English |
|---|---|
| Pages (from-to) | 551-554 |
| Number of pages | 4 |
| Journal | Journal of Reconstructive Microsurgery |
| Volume | 21 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - Nov 2005 |
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Keywords
- Achilles tendon defect
- Posterior tibial adiposal flap
ASJC Scopus subject areas
- Surgery
Cite this
Posterior tibial adiposal flap for repair of wide, full-thickness defect of the Achilles tendon. / Koshima, Isao; Ozaki, Toshihumi; Gonda, Koichi; Okazaki, Mutsumi; Asato, Hirotaka.
In: Journal of Reconstructive Microsurgery, Vol. 21, No. 8, 11.2005, p. 551-554.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Posterior tibial adiposal flap for repair of wide, full-thickness defect of the Achilles tendon
AU - Koshima, Isao
AU - Ozaki, Toshihumi
AU - Gonda, Koichi
AU - Okazaki, Mutsumi
AU - Asato, Hirotaka
PY - 2005/11
Y1 - 2005/11
N2 - Wide, full-thickness defects on the posterior aspect of the distal lower leg involving the Achilles tendon are usually repaired with free fasciocutaneous flaps or local skin flaps. The former require microvascular techniques; there is a donor-site scar due to skin grafting; and a longer operating time. The latter results in a wide scar near the donor defect. The authors developed a new reconstructive procedure using local fascia turned over to create a new Achilles tendon, and wrapping it with a posterior tibial adiposal island flap based on the dominant perforator of the posterior tibial artery, which was elevated from the medial aspect of the lower leg. The advantages of this method are that no donor scar appeared on the posterior aspect of the lower leg, and there was no need for microvascular techniques. This method is especially suitable for young women.
AB - Wide, full-thickness defects on the posterior aspect of the distal lower leg involving the Achilles tendon are usually repaired with free fasciocutaneous flaps or local skin flaps. The former require microvascular techniques; there is a donor-site scar due to skin grafting; and a longer operating time. The latter results in a wide scar near the donor defect. The authors developed a new reconstructive procedure using local fascia turned over to create a new Achilles tendon, and wrapping it with a posterior tibial adiposal island flap based on the dominant perforator of the posterior tibial artery, which was elevated from the medial aspect of the lower leg. The advantages of this method are that no donor scar appeared on the posterior aspect of the lower leg, and there was no need for microvascular techniques. This method is especially suitable for young women.
KW - Achilles tendon defect
KW - Posterior tibial adiposal flap
UR - http://www.scopus.com/inward/record.url?scp=28444466522&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=28444466522&partnerID=8YFLogxK
U2 - 10.1055/s-2005-922435
DO - 10.1055/s-2005-922435
M3 - Article
VL - 21
SP - 551
EP - 554
JO - Journal of Reconstructive Microsurgery
JF - Journal of Reconstructive Microsurgery
SN - 0743-684X
IS - 8
ER -