Composite Flexor Hallucis Longus and Free Gracillis Flap for Infected Achilles Tendon

Primary infection of tendo-achilles (TA) is quite uncommon. Here, we are presenting an interesting case of a 42-year-old farmer who developed TA infection following thorn prick injury (3-month-old injury). He presented to us with discharging sinus on posterior aspect of heel. On subsequent debridement, he had 17 cm tendon defect, which was treated with flexor hallucis longus (FHL) tendon and reinforced with free gracillis flap from opposite thigh. However, to the best of our knowledge, combined use of FHL and gracillis tendon has so far not reported. How to cite this article Simon R, Gadgil A, Jose DP. Composite Flexor Hallucis Longus and Free Gracillis Flap for Infected Achilles Tendon. J Foot Ankle Surg (Asia-Pacific) 2017;4(2):100-102.