A composite lateral arm flap for the secondary repair of a multiply ruptured Achilles tendon

Reported uses of the lateral arm flap for Achilles tendon reconstruction are few, and all refer to delayed primary repair. We would not only like to suggest its use for secondary repairs but also to recommend the incorporation of a suitable olecranon fragment with the triceps tendon graft as a workable anchoring device. This provides a more secure insetting in the all too common operative situation of a short, frayed distal stump and, most important, helps to insure against postoperative rerupture.