The v y plasty and the gastrocnemius soleus fascia turndown graft are the most common methods of advancement 10 11 12 for this purpose. V is incised through only the superficial tendinous portion leaving the muscle fibers intact.
January 3 2013 13 comments.
Vy advancement achilles tendon. Reconstruction with vy advancement. J foot ankle surg. V y advancement is comparable to fhl transfer for the operative management of insertional achilles tendinopathy.
Once the diagnosis and rupture gap is confirmed the incision is extended proximally along the posterior midline of the calf and extended to the myotendinous junction figure 3. Reconstruction of achilles tendon rupture with combined v y plasty and gastrocnemius soleus fascia turndown graft. By the event 2012 featuring steven raikin.
Vy advancement fhl transfer for achilles tears. The ma griffith repair consists of a bunnel suture applied to the proximal tendon and a box suture distally in the stump inserted through 6 para tendinous stab incisions. Login to view comments.
1 4 6 14 achilles ruptures are most commonly seen in middle aged males 30 50 years old who participate intermittently in. Of these procedures fascia advancement provides a local autologous method to restore length in extensive achilles tendon defects 10 11 12. Epub 2010 apr 2.
The achilles tendon is the strongest largest and thickest tendon in the body 1 7 yet it is the most frequently ruptured tendon 2 5 8 with most ruptures occurring at the watershed area approximately 2 to 6 cm proximal to insertion of the tendon. The initial longitudinal incision is made distally at the rupture level placed immediately medial to the achilles tendon to avoid potential sural nerve injury. Though our results trend towards less satisfactory results following v y advancement we found high satisfaction rates with similar functional outcomes and complication rates in both operative groups.
Techniques in foot ankle surgery. Percutaneous achilles tendon repair. Klein recommends the use of absorbable sutures to reduce the symptoms should nerve injury occur.
Percutaneous achilles tendon repair. Technique make v cut with apex at musculotendinous junction with limbs divergent to exit the tendon. Wapner kl pavlock gs hecht pj et al.
Flexor hallucis longus transfer vy advancement of gastrocnemius the achilles tendon is one of the most commonly ruptured tendons of the lower extremity. Foot ankle 14 8 443. Clinically acute achilles tendon rupture can be easily diagnosed and cured.
Reconstruction with vy advancement. Achilles tendon debridement and repair for insertional achilles tendinop. Chronic achilles tendon repair with flexor hallucis longus tendon harvested using a minimally invasive technique.
Repair of chronic achilles tendon rupture with flexor hallucis longus tendon transfer. Flexor hallucis longus transfer vy advancement of. However a significant number of cases are still neglected without treatments.