Treatment of Deep Infection Following Repair of Achilles Tendon Rupture.
- Author:
Woo Chun LEE
1
;
Yu Mi KIM
;
Han Suk KO
Author Information
1. Department of Orthopedic Surgery, College of Medicine, Inje University, Seoul Paik Hospital, Seoul, Korea. wclee@seoulpaik.ac.kr
- Publication Type:Original Article
- Keywords:
Achilles tendon rupture;
Deep infection;
Reverse sural arterialized flap;
Flexor hallucis longus transfer
- MeSH:
Achilles Tendon*;
Humans;
Male;
Rupture*;
Torque
- From:Journal of Korean Foot and Ankle Society
2006;10(2):168-172
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Theaim of this study was to review the results of treatment for deep infection following repair of Achilles tendon rupture using reverse sural arterialized flap and/or flexor hallucis longus transfer. MATERIALS AND METHODS: Five cases of Achilles tendon infection in five patients were treated using reverse sural arterialized flap and/or flexor hallucis longus transfer at our hospital with followed up of average 23.6 months (range, 13-43 months). Three patients were male and average age at surgery was 52.0 years (range, 42-59 years). Clinical results were evaluated by the method of Percy and Conochie, and the isokinetic peak torque value was interpreted according to the guideline of Sapega. RESULTS: The clinical result was excellent in three cases, good in one case and fair in one case. The isometric peak torque value for 30 degrees per second was normal in two cases, possibly abnormal in one case, and probably abnormal in two cases, and for 120 degrees, normal in one case, probably abnormal in four cases. Five cases in five patients were satisfied with the result of treatment. CONCLUSION: We can expect satisfactory results of treatment for deep infection following repair of Achilles tendon rupture using reverse sural arterialized flap and/or flexor hallucis longus transfer.
