fig6

Figure 6. A 7-year-old female three months after suffering a propeller injury to the ankle in a boating accident (A). Her tibial nerve and Achilles tendon were divided, and she had a severely plantar-flexed foot with extreme sensitivity of the foot and ankle. An anterolateral thigh flap was raised with a large portion of facia lata to reconstruct the Achilles tendon (B). The tibial nerve was repaired with a cable sural nerve graft (C). Ankle extension (D) and flexion (E) at 14-month postoperatively. She had a return of good sensation to her plantar foot and can now run without difficulty.