A vascularised gracilis flap with tibial bone for the reconstruction of the Achilles tendon

Published:April 22, 2013DOI:


      Rupture of the Achilles tendon is a very common trauma. Reconstruction of a chronic Achilles tendon defect is challenging for reconstructive surgeons, and several methods have been described. The ideal reconstruction would result in the patients resuming the activity level they were accustomed to before the injury. In our patient, the Achilles tendon was reconstructed using the gracilis muscle flap, and the flap was fixed using a fragment of the tibial bone, yielding satisfactory results. In this report, we describe this procedure employed and provide a description of the case.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Plastic, Reconstructive & Aesthetic Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Wei F.C.
        • Chen H.C.
        • Chuang C.C.
        • Noordhoff M.S.
        Reconstruction of Achilles tendon and calcaneus defects with skin-aponeurosis-bone composite free tissue from the groin region.
        Plast Reconstr Surg. 1988; 81: 579-589
        • Inoue T.
        • Tanaka I.
        • Imai K.
        • Hatoko M.
        Reconstruction of Achilles tendon using vascularised fascia lata with free lateral thigh flap.
        Br J Plast Surg. 1990; 43: 728-731
        • Cavanagh S.
        • Pho R.W.
        • Kour A.K.
        A composite neuro-teno-cutaneous forearm flap in the one-stage reconstruction of a large defect of the soft tissue around the ankle.
        J Reconstr Microsurg. 1991; 7: 323-329
        • Dumont C.E.
        • Kessler J.
        A composite medial plantar flap for the repair of an Achilles' tendon defect: a case report.
        Ann Plast Surg. 2001; 47: 666-668
        • Maffulli N.
        • Spiezia F.
        • Testa V.
        • Capasso G.
        • Longo U.G.
        • Denaro V.
        Free gracilis tendon graft for reconstruction of chronic tears of the Achilles tendon.
        J Bone Jt Surg Am. 2012; 94: 906-910