@article{Di Lenarda_Ramella_Ratti_Grezar_Canton_Papa_Murena_2022, title={Flexor hallucis longus transfer and composite anterolateral thigh fascio-cutaneous flap for reconstruction of massive chronic and infected Achilles tendon lesion. A case report and review of the literature. }, volume={92}, url={https://mattioli1885journals.com/index.php/actabiomedica/article/view/12598}, DOI={10.23750/abm.v92iS3.12598}, abstractNote={<p>Achilles tendon reconstruction with substance loss and infection in the overlying soft tissues is a challenge. There is no standardized treatment in literature for these cases. We describe a one-stage tendon reconstruction, using flexor hallucis longus (FHL) tendon transfer and an anterolateral thigh flap with vascularized fascia lata in a patient with re-rupture of the Achilles tendon, soft tissue infection and a tendon defect of 10 cm in length. The surgical procedure has had a successful outcome; patient has recovered normal gait, has recovered complete ankle range of motion with only a partial loss in plantar flexion of the big toe, without any loss in strength. No complications have emerged at follow-up.</p> <p>This technique is promising in treating large Achilles tendon defects with overlying soft tissue infection in a one-stage procedure.</p>}, number={S3}, journal={Acta Biomedica Atenei Parmensis}, author={Di Lenarda, Luca and Ramella, Vittorio and Ratti, Chiara and Grezar, Laura and Canton, Gianluca and Papa, Giovanni and Murena, Luigi}, year={2022}, month={Mar.}, pages={e2021578} }