V-Y advancement flap for repair of neglected injuries of the Achilles tendon using 2 mini-incisions

V-Y advancement flap for repair of neglected injuries of the Achilles tendon using 2 mini-incisions

Objective: To find a safe repair site for a proximal mini-incision to expose the fascia at the level of the gastrocnemius medialis (GM) myotendinous junction (MTJ). Methods: Seventeen anatomic specimens of popliteal fossa, leg, and foot fixed in formalin were dissected, and the perpendicular distanc...

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Bibliographic Details
Main Authors: German Joannas, Leandro Casola, Guillermo Arrondo, Daniel Niño Gomez, Santiago Labbate
Format: Article
Language:English
Published: Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé 2020-08-01
Series:Journal of the Foot & Ankle
Subjects:
Achilles tendon/surgery
Rupture/surgery
Tendon injuries
Fascia
Treatment outcome
Online Access:https://jfootankle.com/JournalFootAnkle/article/view/1186
Description
Summary:Objective: To find a safe repair site for a proximal mini-incision to expose the fascia at the level of the gastrocnemius medialis (GM) myotendinous junction (MTJ). Methods: Seventeen anatomic specimens of popliteal fossa, leg, and foot fixed in formalin were dissected, and the perpendicular distance from the apex of the medial malleolus to the GM MTJ was measured. Results: The minimum and maximum perpendicular distances from the apex of the medial malleolus to the GM MTJ were 14.00cm and 20.5cm, respectively. Average distance was 16.56cm. Conclusion: We were able to establish a constant value and the average GM MTJ height, which allows for V-Y lengthening through 2 mini-incisions. In reviewing the literature, there was no description of the approaches proposed in this study. Level of Evidence VI; Therapeutic Studies; Case Series.Achilles tendon/surgery
ISSN:2675-2980

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