Soft tissue and tendon reconstruction after Achilles tendon rupture: Adipofascial sural turnover flap associated with cryopreserved gracilis tendon allograft for complicated soft tissue and Achilles tendon losses.

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Pier Camillo Parodi, Loredana Moretti, Giorgio Saggin, Fabrizio De Biasio, Vincenzo Alecci, Luca Vaienti

Ann. Ital. Chir., 2006; 77: 361-368

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Achilles tendon rupture is often complicated by skin substance loss around the tendon, which is a poorly-vascularized
site. Treatment may be conservative or surgical, but the former is not generally accepted by the orthopedic community
and is reserved for selected cases, while surgery remains the mostwidely-used approach.
Soft tissue repair at this site is a crucial reconstruction problem, and becomes very complex if skin reconstruction has to
be associated with a complex tendon repair.
The Authors describe a new approach to the repair of Achilles tendon substance loss compounded by a soft tssue defect,
using a cryopreserved gracilis tendon allograft in combination with a distally-based adipofascial sural flap.

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