IMMEDIATE TENDON ACHILLES RECONSTRUCTION WITH COMPOSITE PALMARIS LONGUS GRAFTS

Full-thickness defects of the posterior heel constitute a continuing r econstructive challenge due to a relative lack of regional tissues in this area and the inherent avascularity of the tendo-Achilles. Wound c losure and tendon reconstruction with composite flaps can potentially accelerate healing, reduce scarring, and improve tendon function. In 2 patients, a radial forearm-palmaris longus composite free flap was us ed to reconstruct full-thickness defects of the heal and tendo-Achille s. Rapid healing and return of function were obtained without signific ant donor site disability.