Repair of Neglected Rupture of the Achilles Tendon using V-Y Tendinous Flap
10.4055/jkoa.1982.17.5.1039
- Author:
Ki Soo KIM
;
Sang Sik MIN
;
Suk Chul CHOI
- Publication Type:Original Article
- Keywords:
Achilles tendon;
Neglected rupture;
V-Y tendinous flap
- MeSH:
Achilles Tendon;
Ankle;
Humans;
Methods;
Muscle Strength;
Rupture;
Tendons
- From:The Journal of the Korean Orthopaedic Association
1982;17(5):1039-1043
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The 6 patients with neglected rupture of the Achilles tendon were treated by end to end anastomosis using the V-Y tendinous flap originated by Abraham in 1975. A tendinous flap was developed over the tendon by making an inverted V incision, which was then repaired in a Y fashion. The postoperative results were satisfactory with no functional disability of the ankle and with recovery of muscle strength for periods of 8 months to 15 months, but slight limited dorsiflexion of the ankle in two cases were noticed. The advantages of this method are: 1. Optimum functional recovery. 2. Recovery of muscle strength and tendon contour. 3. Prevention of late stretching or possible rupture of the healed tendon at the rupture site.