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Reconstruction of the Achilles Tendon with a Composite Anterolateral Thigh Free Flap with Vascularized Fascia LataA Case Report
Patrick Duhamel, MD1; Laurent Mathieu, MD1; Michel Brachet, MD1; Sophie Compere, MD1; Sylvain Rigal, MD1; Eric Bey, MD1
1 Plastic and Maxillofacial Surgery Service (P.D., M.B., and E.B.), Orthopaedic Surgery and Trauma Service (L.M. and S.R.), and Physical Therapy Service (S.C.), HIA Percy, 101 Avenue Henri Barbusse, BP 406-92141 Clamart, France. E-mail address for P. Duhamel: patrick.duhamel1@club-internet.fr. E-mail address for L. Mathieu: laurenttom2@yahoo.fr. E-mail address for M. Brachet: brachet@bbox.fr. E-mail address for S. Compere: sophie.compere@yahoo.fr. E-mail address for S. Rigal: s.rig@libertysurf.fr. E-mail address for E. Bey: bey.eric@yahoo.fr
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at the Percy Military Hospital, Clamart, France

Copyright © 2010 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Nov 03;92(15):2598-2603. doi: 10.2106/JBJS.I.01578
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Reconstruction of a segmental loss of the Achilles tendon combined with defects in soft-tissue coverage creates a challenge for the surgeon. We present the case of a patient who had combined loss of the Achilles tendon and overlying soft-tissue coverage. The patient was managed successfully with a single surgical procedure involving a composite anterolateral thigh free flap with vascularized fascia lata. The functional outcome of the reconstructed ankle and morbidity in the donor thigh were evaluated at one year with use of a kinetic dynamometer combined with magnetic resonance imaging.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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