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The Journal of Bone & Joint Surgery British Volume
Vol. 84-B, Issue 8 | Pages 1142 - 1144
1 Nov 2002
Chana JS Chen H Jain V

The consequences of breakdown of the wound after surgery to tendo Achillis are considerable. Complex surgery is often required to reconstruct the tendon and to provide soft-tissue cover. We describe a new incision which approaches the tendon by using a distally-based fasciocutaneous flap. This reduces the risk of breakdown of the wound since it avoids making an incision directly over the tendon, provides good exposure, and maintains the vascularity of the skin overlying the tendon.