Fig. 1

A 3-year-old girl suffered from a traumatic soft tissue defect in the Achilles tendon area. a Defect appearance after debridement, and a distally based sural fasciocutaneous flap was designed. b Appearance outcomes of the flap and donor site 21 months postoperatively. Pigmentation of the donor site did not occur, but obvious scarring of the donor site was observed. c, d “Excellent” reconstruction outcomes 21 months postoperatively