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