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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