Bipedicled XXXX for the Reconstruction of Soft Tissue Defects of the Achilles Tendon.

@entity1 @entity455 @entity39 @entity1912 @entity130
UNASSIGNED: Soft tissue defects exposing the Achilles tendon are common in @entity1 who have undergone @entity130 or in those with pressure ulcers associated with @entity455 . The purpose of this article was to present our experience of 11 @entity1 who underwent reconstruction of soft tissue defects of the Achilles tendon using bipedicled fasciocutaneous flaps. Between August 2008 and August 2012, 11 @entity1 were admitted to our hospital, presenting with soft tissue defects overlying the Achilles tendon. After adequate debridement, the 11 @entity1 underwent bipedicled fasciocutaneous @entity1912 placement to resurface the complex soft tissue defects and provide a gliding surface for the exposed Achilles tendon. The @entity1 ' age, comorbidity, etiology, defect size and location, wound culture, skin graft size, complications, surgery duration, and follow-up period were reviewed. The 11 fasciocutaneous bipedicled flaps survived completely, and the wounds healed satisfactorily at a mean follow-up period of 20.9 months (range, 6-48 months). Only 1 @entity1912 was complicated with wound dehiscence and superficial @entity39 of its lateral edge, which healed conservatively. The donor sites were covered with split-thickness skin grafts and healed well without complications. The bipedicled fasciocutaneous @entity1912 is a reliable @entity1912 for coverage of defects overlying the Achilles tendon, especially in @entity1 with vascular problems and/or elderly @entity1 . The ease of handling, short operative time, and early recovery of mobilization function are of great benefit to @entity1 . Thus, the bipedicled fasciocutaneous @entity1912 can be a valuable alternative for defect reconstructions overlying the Achilles tendon, with satisfactory results both functionally and cosmetically.
