Double-Layer Reconstruction of the Achilles' Tendon Using a Modified Lindholm's Technique and Vascularized Fascia Lata

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Kelahmetoglu O., Gules M. E., Elmadag N. M., Guneren E., Ergun S.

JOURNAL OF HAND AND MICROSURGERY, vol.10, no.1, pp.49-51, 2018 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 10 Issue: 1
  • Publication Date: 2018
  • Doi Number: 10.1055/s-0037-1608745
  • Journal Indexes: Emerging Sources Citation Index (ESCI)
  • Page Numbers: pp.49-51
  • Keywords: Achilles' tendon, rupture, anterolateral thigh flap, fascia lata, Lindholm's technique, ANTEROLATERAL THIGH FLAP, OVERLYING SOFT-TISSUE, FUNCTIONAL ASSESSMENT, REPAIR
  • Bezmialem Vakıf University Affiliated: Yes


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.