Summary
A distally based tenosynovial sheath of peroneal tendons was used as a flap with skin
graft to cover the exposed tendo Achilles. The flap has a reliable blood supply being
perfused by a constant sizeable musculofascial perforator. Cadaveric dissection with
methylene blue dye study has been conducted to prove the rationality and reliability
of blood supply. The position of the perforator had been confirmed prior to surgery
by a hand-held Doppler. The flap used to cover the exposed Achilles tendon in five
cases yielded positive results. To our knowledge, a retrograde flap of this nature
is unprecedented though an antegrade flap of similar composition has been described.
Keywords
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References
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Article info
Publication history
Published online: January 31, 2007
Accepted:
November 29,
2006
Received:
April 12,
2006
Footnotes
☆This paper was presented and received the ‘APSI Best Paper Award’ during the 39th National Conference of the Association of Plastic Surgeons of India held at Jaipur, in November 2004.
Identification
Copyright
© 2006 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
