[Variants of plastic surgery using the flaps in the area of the Achilles tendon]

Operations were performed on 10 patients with persistent ulcers of the scars in the zone of Achilles tendon. Plasty with L-shaped whole thickness flap raised from the area of the external surface of the foot, ankle and lower third of the shin with a proximal pedicle was fulfilled in 9 patients after a radical dissection of ulcerated scars. In one patient plasty was fulfilled by translocation of a two-pedicle flap. Different variants of operations and results of treatment are described. A conclusion is made that scarry-trophic ulcers in the zone of Achilles tendon can be successfully treated by plasty with a whole thickness flap raised in the area of the lower third of the shin, external ankle and the lateral surface of the foot.