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 acomplex reconstructive challenge. Herein we present our experience using a freecomposite anterolateral thigh (ALT) flap with vascularized fascia lata and a modifiedLindholm’s technique to repair the Achilles’ tendon. A 37-year-old man suffered fromtertiary Achilles’ tendon rupture. For reconstruction, the free composite ALT flap withvascularized fascia lata was used to wrap Achilles’ tendon. A modified Lindholm’stechnique was used to cover overlying soft tissue defects. The patient was followed upfor 12 months. No wound healing problems were reported, and the patient was able towalk and return to his daily ambulating activities without any support after 5 monthspostoperatively. This technique may be useful to achieve satisfactory outcomes inpatients with ruptured Achilles’ tendons following tertiary repair.

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