Reconstruction of soft tissue defects of Tendo Achilles region - Deriving a management protocol

Abstract

Reconstruction of defects in TendoAchilles
region presents a challenging problem
for the plastic surgeon. A well vascularised
reconstruction having good durability
in this mobile area which is more
prone to repeated friction by footwear
makes the task of reconstruction a difficult
one. Aim - To select the most suitable
method of reconstruction for the
various TendoAchilles region defects to
derive a protocol for management of
such defects. Materials and Methods - 21
patients with TendoAchilles region soft
tissue defects reconstructed at our plastic
surgery department , irrespective of
sizes of defect between August 2009 and
July 2011. Local , regional, distant and
free flaps wereused for reconstruction .
Post operative complications were

noted and flap durability followed up.The
goal of reconstruction in TendoAchilles
region is to provide stable coverage with
minimal donor site morbidity.