Reconstruction of Achilles Tendon Defect with a Free Quadriceps Bone-Tendon Graft without Anastamosis

Author:

Mudgal Chaitanya S.1,Martin Tamara L.2,Wilson Michael G.3

Affiliation:

1. Chaitanya S. Mudgal, M.D. Resident, Harvard Combined Orthopaedic Surgery Program Brigham and Women's Hospital 75 Francis Street, Boston, MA 02115.

2. Tamara L. Martin, M.D. Clinical Instructor in Orthopaedic Surgery, Harvard Medical School, and Brigham and Women's Hospital 75 Francis Street, Boston, MA 02115.

3. Michael G. Wilson, M.D. Clinical Instructor in Orthopaedic Surgery, Harvard Medical School, and Chief, Foot and Ankle Service Brigham and Womenis Hospital 75 Francis Street, Boston, MA 02115.

Abstract

We report a method of Achilles tendon reconstruction using a free quadriceps bone-tendon graft. The patient had a prior repair of a re-ruptured Achilles tendon, following which he developed massive necrosis of his skin and Achilles tendon leaving a 10 cm defect. First stage reconstruction consisted of soft tissue coverage of the skin defect with a sural fasciocutaneous flap. Reconstruction of the Achilles tendon followed, with the patellar bone block fixed to the calcaneus and the quadriceps tendon sutured proximally.

Publisher

SAGE Publications

Subject

Orthopedics and Sports Medicine,Surgery

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