Abstract

Reconstruction of a large tendon defect with free tensor fascia lata flap, free groin flap with external oblique fascia or free lateral arm flap with triceps tendon has been reported. A case with anterior compartment muscle and tendon defects successfully reconstructed by a free tensor fascia lata flap with split iliotibial tract was reported. Postoperative range of motion of ankle was 20 degrees in dorsiflexion and 40 degrees in plantar flexion. Average range of motion was 25 degrees in metatarsophalangeal joint extension and 35 degrees in metatarsophalangeal and interphalangeal joint flexion. The patient resumed nearly normal walking capability.

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