Treatment of degenerative Achilles'tendon rupture using V-Y tendinous flap and transfer of flexor hallucis longus tendon
- VernacularTitle:V-Y肌腱瓣结合屈(足母)长肌腱转移治疗退变的跟腱断裂
- Author:
Yuhui SHEN
;
Jinhao LIU
;
Xiangyang XU
- Publication Type:Journal Article
- Keywords:
Achilles' tendon;
Tendon;
Injury
- From:
Chinese Journal of Orthopaedic Trauma
2008;10(3):238-241
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce the technique.indication and outcome of treatment of degenerative Achilles'rupture with transfer of flexor hallucis longus tendon and V-Y tendinous flap. Methods From October 2003 to May 2006,21 cases of degenerative Achilles'tendon rupture were treated in our department using transfer of flexor hallucis longus tendon and V-Y tendinous flap.Rivets were used in 17 cases and surface screws in 4.They were followed up for 12 to 18 months(average,14). Results According to the Arner-Lindholm criteria for curative results,19 of the 21 cases were excellent and 2 good.Follow-ups revealed no Achilles'tendon re-rupture,infection,skin necrosis,stiff ankle,or injury to nerves and vessels.Walking gaits nearly recovered to normal.The repair strength allowed early functional exercise of the Achilles'tendon. Conclusion Transfer of flexor hallucis longus tendon combined with V-Y tendinous flap can cure the degenerative Achilles'tendon ruptures and defects of Achilles'tendon within 3 cm.
