Double-Layer Reconstruction of the Achilles’ Tendon Using a Modified Lindholm’s Technique and Vascularized Fascia Lata
Loss of the Achilles’ tendon with overlying soft tissue and skin defects remains a
complex reconstructive challenge. Herein we present our experience using a free
composite anterolateral thigh (ALT) flap with vascularized fascia lata and a modified
Lindholm’s technique to repair the Achilles’ tendon. A 37-year-old man suffered from
tertiary Achilles’ tendon rupture. For reconstruction, the free composite ALT flap with
vascularized fascia lata was used to wrap Achilles’ tendon. A modified Lindholm’s
technique was used to cover overlying soft tissue defects. The patient was followed up
for 12 months. No wound healing problems were reported, and the patient was able to
walk and return to his daily ambulating activities without any support after 5 months
postoperatively. This technique may be useful to achieve satisfactory outcomes in
patients with ruptured Achilles’ tendons following tertiary repair.
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