Reconstructing and resurfacing open neglected Achilles tendon injury by distal posterior tibial artery perforator based adipofascial flap

Mohanty, Atanu; Jain, Pradeep

doi:10.1007/s00238-004-0595-0

Cited by 8 publications

(11 citation statements)

References 10 publications

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“…The vessels form 4 vascular plexuses within the flap. 17 It permits the tendons and muscles to move freely because it does not adhere to underlying moving structures. The donor site can be closed primarily with the preserved dermal flaps.…”

Section: Discussionmentioning

confidence: 99%

“…2,14,15 The bulkiness of pedicle is an additional drawback of the reverse flow fasciocutaneous flaps. 14,15,17 The perforator-based fasciocutaneous flaps such as the lateral supramalleolar flap, 20 the medial and lateral malleolar perforator flaps 1 can provide suitable tissue for ankle defects and do not require the sacrifice of main arteries. But the donor area cannot usually be closed primarily, and an unsightly appearance in the lower leg is unavoidable because of the skin grafting.…”

Section: Discussionmentioning

confidence: 99%

“…But the donor area cannot usually be closed primarily, and an unsightly appearance in the lower leg is unavoidable because of the skin grafting. 13,15,17 To minimize the donor-site morbidity, the fasciocutaneous flaps have been modified and used as adipofascial flaps. 8 -16,18 The advantages of adipofascial flaps have been well described.…”

Section: Discussionmentioning

confidence: 99%

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A Novel Flap to Repair Medial and Lateral Malleolar Defects

Kılınç

Bilen²,

Arslan³

2006

Annals of Plastic Surgery

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Soft tissue coverage of the ankle is a difficult challenge. The adipofascial flap based on perforators of the anterior tibial artery was harvested from the dorsum of the foot and used for repairing of soft tissue defects either on the lateral or medial malleolar region in 7 patients. Two medial and 5 lateral malleolar defects were covered using the flap described. The size of flaps varied from 3.5 x 10 cm to 4.5 x 12 cm. All flaps had good perfusion and survived completely. Donor-site morbidity was minimal in all cases. Both functional and esthetical results were satisfactory. Because of thin and pliable features, this flap is suitable for repair of defects around the ankle region. In addition, donor-site morbidity of this flap is minimal, with an acceptable scar hidden in the shoe-wearing area.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Novel Flap to Repair Medial and Lateral Malleolar Defects

Kılınç

Bilen²,

Arslan³

2006

Annals of Plastic Surgery

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show abstract

“…1 If patients present within 6 to 12 hours of the injury a thorough wash followed by primary or delayed repair of the tendon can be done. Management of delayed presentation of open Tendo Achilles injuries is more complex, as there is a loss of soft tissue cover in addition to the tendon defect.…”

mentioning

confidence: 99%

“…These include lengthening the aponeurotic tendon either in a 'tongue in groove' fashion as described by Baker, or the V-Y technique popularized by Abraham and Pankovich. 1,2 The other methods described for repair of neglected rupture include augmentation with the peronei (Teuffer's modification of White and Kraynick technique), or with a strip from the median raphe of the proximal tendon (Bosworth's technique).…”

mentioning

confidence: 99%

Management of Open Chronic Tendo Achilles Injuries: A case report

Orth¹,

Orth²,

Orth³

et al. 2010

FAOJ

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Post Traumatic Reconstruction of the Pediatric Heel and Achilles Tendon

Zhu

Duan³

et al. 2016

Annals of Plastic Surgery

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Severe motorcycle spoke injuries of the heel lead to Achilles tendon defects, calcaneal tubercle exposure or loss, and overlying soft tissue defects, which are challenging to treat. Given the special physiological and developmental characteristics of children, severe spoke injuries of the heel in children are especially troublesome.We report details of 31 cases of severe motorcycle spoke injuries of the heel in children. The reconstruction timing depended on the time since injury, systematic conditions, and concurrent injuries. Eighteen cases were reconstructed at the time of emergency surgery, and 13 cases underwent delayed reconstruction. Appropriate flap transfer and Achilles tendon repair were conducted based on the defect size of the Achilles tendon, the main location of the soft tissue defect, and the distal residues of the Achilles tendon.Of the 31 cases, 16 cases were reconstructed with sliding gastrocnemius musculocutaneous flaps, 7 cases had saphenous neurocutaneous flaps, 4 cases had posterior tibial perforator flaps, 3 cases had sural neurocutaneous flaps, and 1 case was repaired with a peroneal artery perforator flap. All flaps healed uneventfully except for 3 cases of flap partial necrosis and 1 case of local infection of the Achilles tendon. During 6 months to 4 years of follow-up, dorsiflexion of the ankle was obviously limited at first but gradually recovered and enabled normal walking. However, due to the possibilities of calcaneal defects, epiphyseal injuries, and Achilles tendon problems, long-term follow-up is indicated.

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Reconstructing and resurfacing open neglected Achilles tendon injury by distal posterior tibial artery perforator based adipofascial flap

Cited by 8 publications

References 10 publications

A Novel Flap to Repair Medial and Lateral Malleolar Defects

A Novel Flap to Repair Medial and Lateral Malleolar Defects

Management of Open Chronic Tendo Achilles Injuries: A case report

Post Traumatic Reconstruction of the Pediatric Heel and Achilles Tendon

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