Repair of KuwadaⅡand Ⅲ Achilles tendon defects through modified medial J-shaped approach with autologous fascia lata transplantation.
10.12200/j.issn.1003-0034.2022.01.003
- Author:
Yi-Min QI
1
;
Weng-Bo YANG
1
;
Chun-Zhi JIANG
1
;
Yi-Wen ZENG
1
;
Lei WU
1
Author Information
1. Department of Orthopedic, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, Jiangsu, China.
- Publication Type:Journal Article
- Keywords:
Achilles tendon;
Fascia lata;
Postoperative complications;
Surgical incision
- MeSH:
Achilles Tendon/surgery*;
Adult;
Fascia Lata;
Female;
Humans;
Male;
Retrospective Studies;
Rupture;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2022;35(1):11-14
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the clinical effect of modified medial J-shaped incision of Achilles tendon combined with fascia lata transplantation in the treatment of Kuwada typeⅡand Ⅲ Achilles tendon defects.
METHODS:From January 2016 to August 2018, the clinical data of 15 patients with KuwadaⅡand Ⅲ Achilles tendon defects treated with modified J-shaped approach with autologous fascia lata transplantation were retrospectively analyzed, including 14 males and 1 female, with an average age of 31.7 years old ranging from 24 to 43. There were 9 cases of KuwadaⅡdefect and 6 cases of KuwadaⅢ defect. Postoperative observations were made for incision complications, and the Arner-Lindholm scoring standard was used to evaluate the function of the affected foot at the last follow-up.
RESULTS:All 15 cases were followed up from 3 to 16 months with an average of 9.2 months. No skin necrosis or infection occurred after operation, and no Achilles tendon rupture occurred again. According to the Arner-Lindholm scoring standard, 13 cases were excellent, 2 cases were good.
CONCLUSION:Modified medial J-shaped incision is a satisfactory approach for repairing Achilles tendon defects. It is helpful to prevent postoperative incision complications, which double-strengthen the Achilles tendon strength, so that patients can perform early rehabilitation and functional exercises with satisfactory clinical results.
