NDLI: Reconstruction of soft tissue defects overlying the Achilles tendon using the super extended abductor hallucis muscle flap.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Michlits, Wolfgang Gruber, Sabine Windhofer, Christian Macheiner, Peter Walsh, Molly Papp, Christoph
Description	Country affiliation: Austria Author Affiliation: Michlits W ( Department of Plastic and Reconstructive Surgery, Hospital of Barmherzige Brüder, Salzburg, Austria.)
Abstract	BACKGROUND: Soft tissue defects overlying the Achilles tendon often occur after traumatic ruptures of the Achilles tendon or because of pressure ulcers in patients suffering from circulatory problems. Ideally, reconstruction should be achieved in as few stages as possible. Currently, there are different methods used to treat these defects. Here, we examined whether reconstruction of this region could benefit from the super extended abductor hallucis muscle flap. METHODS: In 12 cadaver feet, the vascular supply and mobilization radius of the abductor hallucis muscle were studied to clarify the possible clinical utilization of this flap. A technique for Achilles defect reconstruction using this flap, along with the functional and cosmetic results in six patients are presented. RESULTS: Our anatomic findings agree with those available in the literature and the adaptation in pedicle preparation allowed an increase in rotation of the flap for successful coverage of defects overlying the Achilles tendon. Using the super extended abductor hallucis muscle flap, the functionality and the anatomic shape were successfully reconstructed. Six weeks after surgery all patients were fully mobile, unless they suffered from Achilles tendon ruptures then they were mobile after 12 weeks. CONCLUSIONS: The super extended abductor hallucis muscle flap might represent an alternative to established methods because of ease of handling and a shorter anesthesia compared with a free flap procedure.
File Format	HTM / HTML
ISSN	00225282
Issue Number	6
Volume Number	65
e-ISSN	15298809
Journal	The Journal of Trauma: Injury, Infection, and Critical Care
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2008-12-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Surgical Flaps Achilles Tendon Blood Supply Humans Middle Aged Rupture Graft Survival Male Pressure Ulcer Discipline Traumatology Tendon Injuries Journal Article Ankle Injuries Surgery Microsurgery Adult Aged Physiology Ultrasonography, Doppler, Duplex Injuries Methods Soft Tissue Injuries
Content Type	Text
Resource Type	Article
Subject	Surgery Critical Care and Intensive Care Medicine

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