Conclusion
Reconstruction of the Achilles tendon and the overlying skin necessitates in-depth knowledge of the lower leg reconstructive armamantorium. Orthoplastic reconstruction should keep in mind for tendon defects. Special digital imaging facilitates flap surgery and may reduce the risk of flap complications. Conventional approaches are suitable for shallow small skin lesions of the Achilles region. For deeper skin defects, local flaps are good options for good aesthetic outcomes. In addition, super-thin free flaps provided excellent results in skillful hands. For complex defects, use of multi-content free chimeric flaps for reconstruction allows for better anatomical repair. Cross-leg or flow-through flaps may be considered for Achilles repairs in patients with compromised distal circulation. Selection of the most reliable approach for Achilles reconstruction is a key imperative to achieve favorable outcomes.
Conficts of interest: None