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A new incision for surgery on tendo Achillis using a distally-based fasciocutaneous flap

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.

Correspondence should be sent to Professor H.-C. Chen at 9, Alley 23, Lane 76, Ho-Ping East Road, Taipei, Taiwan.

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.