RT Journal A1 Duhamel, Patrick A1 Mathieu, Laurent A1 Brachet, Michel A1 Compere, Sophie A1 Rigal, Sylvain A1 Bey, Eric T1 Reconstruction of the Achilles Tendon with a Composite Anterolateral Thigh Free Flap with Vascularized Fascia LataA Case Report JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2010 FD November 3 VO 92 IS 15 SP 2598 OP 2603 DO 10.2106/JBJS.I.01578 UL http://dx.doi.org/10.2106/JBJS.I.01578 AB 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.