Jun-Sik Park; Seung-Ha Baek; Gab-Lae Kim

doi:10.14193/jkfas.2018.22.3.127

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Park, Baek, and Kim: Anterior Lateral Thigh Free Flap and Achilles Tendon Reconstruction Surgery for Contact Dermal Burn of Heel Including Achilles Tendon: A Case Report −Surgical Treatment for Functional Recovery–

Case Report

J Korean Foot Ankle Soc 2018;22(3):127-130.

Published online: 20 January 2018

DOI: https://doi.org/10.14193/jkfas.2018.22.3.127

Anterior Lateral Thigh Free Flap and Achilles Tendon Reconstruction Surgery for Contact Dermal Burn of Heel Including Achilles Tendon: A Case Report −Surgical Treatment for Functional Recovery–

Jun-Sik Park, Seung-Ha Baek, Gab-Lae Kim

Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Seoul, Korea

Corresponding Author: Gab-Lae Kim Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, 150 Seongan-ro, Gangdong-gu, Seoul 05355, Korea Tel: 82-2-2224-2230, Fax: 82-2-489-4391, E-mail: kiga9@hanmail.net ORCID: https://orcid.org/0000-0002-0282-1721

Received 20 June 2018 Revised 15 August 2018 Accepted 19 August 2018

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 3rd degree burn on the heel including the Achilles tendon is vulnerable and requires active treatment to improve the functional outcomes. Previously, there have been a few treatments on severe burns, such as amputation, debridement or simple skin graft. The cooperative technique of an anterior lateral thigh flap with Achilles tendon reconstruction can be an innovative procedure that preserves the major arteries. The authors review a case and report the clinical outcome.

Keywords: Achilles tendon, Burns, Reconstructive surgical procedures, Surgical flaps

References

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Figure 1.

Photograph taken before the surgery shows a large soft tissue defect of posteromedial side of ankle and heel area.

Figure 2.

The sagittal images of magnetic resonance imaging show Achilles tendon defect (A) and damaged soft tissue (B).

Figure 3.

(A) Photograph of necrotic tissues and nonfunction of Achilles tendon. (B) The damaged Achilles tendon was removed from the calcaneus to one third of distal lower leg.

Figure 4.

(A) An allotendon of Achilles tendon and allobone used in reconstruction. (B) An intraoperative lateral image of allotendon and allobone. (C) Flap donor site of anterior surface of thigh.

Figure 5.

Gross photography (A) and plantar area (B) of foot flap site of 1 month after the surgery shows no complications. Posteroanterior view (C) and laterial view (D) of lower leg gross photography of 3 months after the surgery shows good healing and no complications.

Figure 6.

(A) Preoperative simple lateral radiography shows soft tissue damage. (B) Postoperative simple lateral radiography shows fixation of allobone to calcaneus with screws. And ankle joint was immobilized with Steinmann pins.

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