PMC5678446_01
(a) A 64-year-old woman had a chronic ulcer and necrosis of the Achilles tendon. (b) After debridement of soft tissue and the Achilles tendon. (c) Harvesting an anterolateral thigh flap with fascia. A 15 x 8 cm skin paddle with 18 x 10 cm fascia lata was harvested from the non-affected side. (d) The vascularized fascia was folded and fixed to the calcaneus bone and the skin paddle of the anterolateral thigh flap was then fixed to the soft tissue defect. (e) One-year postoperative view. The patient could stand on tip toe without help.
ICRP_A_1396902_F0003_C.jpg
PMC5678446_01_ICRP_A_1396902_F0003_C.jpg
F0003
However, her Achilles tendon ruptured the fourth time with skin necrosis was after which she was referred to our hospital (Figure 3(a)). Achilles tendon defect (Figure 3(b)). A 15 x 8 cm ALT flap with 18 x 10 cm FL was then harvested (Figure 3(c)). The FL was folded and fixed to the calcaneus bone and a skin paddle of the ALT flap was fixed to the soft tissue defect (Figure 3(d)). Twelve months postoperatively, the active range of motion of the ankle joint was 55  (10  dorsiflexion, 45  plantar flexion) (Figure 3(e)) and she had no disability in her daily life.
PMC5678446_02
(a) A 60-year-old man had a chronic ulcer and necrosis of the Achilles tendon. (b) After debridement of soft tissue and the Achilles tendon. (c) The anterolateral thigh flap with fascia lata was harvested. A 15 x 10 cm skin paddle with 20 x 12 cm fascia lata was harvested from the non-affected side. (d) The vascularized fascia was folded and fixed to the calcaneus bone and the skin paddle of the anterolateral thigh flap was then fixed to the soft tissue defect. (e) One-year postoperative view. The patient could stand on tip toe without help.
ICRP_A_1396902_F0004_C.jpg
PMC5678446_02_ICRP_A_1396902_F0004_C.jpg
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However, his Achilles tendon ruptured the third time with skin necrosis, and then was referred to our hospital (Figure 4(a)). Achilles tendon defect (Figure 4(b)). A 15 x 10 cm ALT flap with 20 x 12 cm FL was harvested (Figure 4(c)). The FL was folded and fixed to the calcaneus bone and then a skin paddle of the ALT flap was fixed to the soft tissue defect (Figure 4(d)). The active range of motion of the ankle joint was 70  (15  dorsiflexion, 55  plantar flexion) (Figure 4(e)).