Ashraf Hussein ElGhamry British Journal of Plastic Surgery

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Presentation transcript:

Peroneal tendofascial flap: a new fascial flap for Achilles tendon coverage, a preliminary report Ashraf Hussein ElGhamry British Journal of Plastic Surgery Volume 56, Issue 3, Pages 284-288 (April 2003) DOI: 10.1016/S0007-1226(03)00116-4

Figure 1 Pre-operative photo of post-traumatic ulcer over the tendo Achilles 3 cm above the heel. British Journal of Plastic Surgery 2003 56, 284-288DOI: (10.1016/S0007-1226(03)00116-4)

Figure 2 Intra-operative photo showing the peroneal tendofascial flap of both peroneal tendons spreaded before transposition. British Journal of Plastic Surgery 2003 56, 284-288DOI: (10.1016/S0007-1226(03)00116-4)

Figure 3 The fascial flap transposed to cover the Achilles tendon and peroneal tendons. Addison's forceps is shown to pass deep to the flap before the last suture. British Journal of Plastic Surgery 2003 56, 284-288DOI: (10.1016/S0007-1226(03)00116-4)

Figure 4 Post-operative photo (6 ms) showing complete healing with graft take. British Journal of Plastic Surgery 2003 56, 284-288DOI: (10.1016/S0007-1226(03)00116-4)

Figure 5 Post-operative photo showing normal foot eversion and flexion. British Journal of Plastic Surgery 2003 56, 284-288DOI: (10.1016/S0007-1226(03)00116-4)

Figure 6 Pre-operative photo of ulcer in post-burn scar over the Achilles tendon 10 cm above the heel. British Journal of Plastic Surgery 2003 56, 284-288DOI: (10.1016/S0007-1226(03)00116-4)

Figure 7 (A–C) These diagrams illustrate the standard method of raising the flap described and transposing the fascial and synovial flap. (D) Shows the flap transposed with the peroneus brevis muscle (see text). British Journal of Plastic Surgery 2003 56, 284-288DOI: (10.1016/S0007-1226(03)00116-4)

Figure 8 Early post-operative result (2 week) showing complete graft take and donor site incision. British Journal of Plastic Surgery 2003 56, 284-288DOI: (10.1016/S0007-1226(03)00116-4)

Figure 9 Post-operative result (6 ms) showing durable cover. British Journal of Plastic Surgery 2003 56, 284-288DOI: (10.1016/S0007-1226(03)00116-4)