case_images: PMC6609348_01
case_images: Photograph of the first patient visit 39 days after initial injury. Achilles tendon was re-ruptured with skin necrosis around it.
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case_images: PMC6609348_01_ICRP_A_1635023_F0001_C.jpg
case_images: F0001
case_images: He ultimately presented to our department for reconstructive surgery using a free flap 39 days after the initial injury (Figure 1).
case_images: Intraoperative photographs (a) After debridement of soft tissue and the Achilles tendon. (b) Design of the flap. (c) TFL was sutured with Achilles tendon. (d) After the operation.
case_images: ICRP_A_1635023_F0002_C.jpg
case_images: PMC6609348_01_ICRP_A_1635023_F0002_C.jpg
case_images: F0002
case_images: Wide debridement resulted in a large combined Achilles tendon (7 cm long) and overlying skin defect (5.5 x 11 cm) (Figure 2(a)). The ALT flap with a 6.5 x 13 cm skin island without fascia and TFL musculofascial flap with an 11-cm length of iliotibial fascia were elevated from the right thigh (Figure 2(b)).
case_images: Six months after the operation. (a) He could stand on a toe of operated foot. (b) plantar flexion was 45 degree. (c) Dorsiflexion was 10 degree.
case_images: ICRP_A_1635023_F0003_C.jpg
case_images: PMC6609348_01_ICRP_A_1635023_F0003_C.jpg
case_images: F0003
case_images: Six months postoperatively, he could stand on a toe of the operated foot without help (Figure 3(a,b)). Function at the ankle was good (Figure 3(c,d) and he had no disability in his daily life.