Tendoachilles Reconstruction - Reverse sural flap

Patient was referred to us with a raw area over achilles tendon area. Due to injury, the patient had rupture of his achilles tendon and also there is loss of the overlying skin. The Tendoachilles is repaired and the raw area with exposed achilles tendon has to be covered. Sural fasciocutaneous flap based on the reverse circulation from Sural nerve and its surround vascular structures and also the last perforator of the peroneal vessels around 5-7 cm above the lateral malleolus was elevated. The flap is also elevated on a adipofascial pedicle which increases the flap survival. The raw area was covered with the above mentioned flap and the donor raw area was covered with skin graft.

The picture shows a well healed flap covering the raw area with exposed achilles tendon.