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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
2020-08-01
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| Series: | Journal of the Foot & Ankle |
| Subjects: | |
| Online Access: | https://jfootankle.com/JournalFootAnkle/article/view/1186 |
| _version_ | 1818870989176438784 |
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| author | German Joannas Leandro Casola Guillermo Arrondo Daniel Niño Gomez Santiago Labbate |
| author_facet | German Joannas Leandro Casola Guillermo Arrondo Daniel Niño Gomez Santiago Labbate |
| author_sort | German Joannas |
| collection | DOAJ |
| description | 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 |
| first_indexed | 2024-12-19T12:15:47Z |
| format | Article |
| id | doaj.art-7eb8a8e6c86b4f0bbe27dd5ed7592116 |
| institution | Directory Open Access Journal |
| issn | 2675-2980 |
| language | English |
| last_indexed | 2024-12-19T12:15:47Z |
| publishDate | 2020-08-01 |
| publisher | Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé |
| record_format | Article |
| series | Journal of the Foot & Ankle |
| spelling | doaj.art-7eb8a8e6c86b4f0bbe27dd5ed75921162022-12-21T20:21:58ZengAssociação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPéJournal of the Foot & Ankle2675-29802020-08-0114210.30795/jfootankle.2020.v14.11861186V-Y advancement flap for repair of neglected injuries of the Achilles tendon using 2 mini-incisionsGerman Joannas0Leandro Casola1Guillermo Arrondo2Daniel Niño Gomez3Santiago Labbate4Instituto Dupuytren, Buenos Aires, Argentina and Cirujanos Especialistas en Pierna y Pie (CEPP), Buenos Aires, ArgentinaInstituto Dupuytren, Buenos Aires, Argentina and Cirujanos Especialistas en Pierna y Pie (CEPP), Buenos Aires, ArgentinaInstituto Dupuytren, Buenos Aires, Argentina and Cirujanos Especialistas en Pierna y Pie (CEPP), Buenos Aires, ArgentinaInstituto Dupuytren, Buenos Aires, Argentina and Cirujanos Especialistas en Pierna y Pie (CEPP), Buenos Aires, ArgentinaInstituto Dupuytren, Buenos Aires, Argentina and Cirujanos Especialistas en Pierna y Pie (CEPP), Buenos Aires, ArgentinaObjective: 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/surgeryhttps://jfootankle.com/JournalFootAnkle/article/view/1186Achilles tendon/surgeryRupture/surgeryTendon injuriesFasciaTreatment outcome |
| spellingShingle | German Joannas Leandro Casola Guillermo Arrondo Daniel Niño Gomez Santiago Labbate V-Y advancement flap for repair of neglected injuries of the Achilles tendon using 2 mini-incisions Journal of the Foot & Ankle Achilles tendon/surgery Rupture/surgery Tendon injuries Fascia Treatment outcome |
| title | V-Y advancement flap for repair of neglected injuries of the Achilles tendon using 2 mini-incisions |
| title_full | V-Y advancement flap for repair of neglected injuries of the Achilles tendon using 2 mini-incisions |
| title_fullStr | V-Y advancement flap for repair of neglected injuries of the Achilles tendon using 2 mini-incisions |
| title_full_unstemmed | V-Y advancement flap for repair of neglected injuries of the Achilles tendon using 2 mini-incisions |
| title_short | V-Y advancement flap for repair of neglected injuries of the Achilles tendon using 2 mini-incisions |
| title_sort | v y advancement flap for repair of neglected injuries of the achilles tendon using 2 mini incisions |
| topic | Achilles tendon/surgery Rupture/surgery Tendon injuries Fascia Treatment outcome |
| url | https://jfootankle.com/JournalFootAnkle/article/view/1186 |
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