The joint Orthoplastic management of an Achilles tendon avulsion: A rare case report
Summary: Rupture of the Achilles tendon typically occurs at the mid-substance, and less commonly at the distal insertion or proximal musculotendinous junction. We report the case of a 60-year-old multi-morbid patient presenting with an avulsion of the Achilles tendon from the gastrocnemius-soleus co...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-12-01
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| Series: | JPRAS Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587822000626 |
| _version_ | 1828271097348358144 |
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| author | S. Shah A.S. Sehmbi L. Jeyaseelan |
| author_facet | S. Shah A.S. Sehmbi L. Jeyaseelan |
| author_sort | S. Shah |
| collection | DOAJ |
| description | Summary: Rupture of the Achilles tendon typically occurs at the mid-substance, and less commonly at the distal insertion or proximal musculotendinous junction. We report the case of a 60-year-old multi-morbid patient presenting with an avulsion of the Achilles tendon from the gastrocnemius-soleus complex - a variant of injury previously unrecorded in the literature. Initial Orthoplastic management involved debridement and primary fixation of the avulsed tendon to the muscle with a concurrent lateral rotational flap. Flap failure and loss of tendon viability necessitated further debridement and eventual split-skin grafting (SSG). A residual dorsiflexion deformity will undoubtedly require further operative intervention. Here, we report the management of this unreported variant of Achilles tendon injury and discuss alternatives to our initial management that could have resulted in fewer procedures and improved long-term functional outcomes. |
| first_indexed | 2024-04-13T05:49:54Z |
| format | Article |
| id | doaj.art-ff9595337c404e3d94af74f9c043d621 |
| institution | Directory Open Access Journal |
| issn | 2352-5878 |
| language | English |
| last_indexed | 2024-04-13T05:49:54Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj.art-ff9595337c404e3d94af74f9c043d6212022-12-22T02:59:49ZengElsevierJPRAS Open2352-58782022-12-01346063The joint Orthoplastic management of an Achilles tendon avulsion: A rare case reportS. Shah0A.S. Sehmbi1L. Jeyaseelan2Queen's Hospital, Barking Havering Redbridge NHS trust, London, United Kingdom; Corresponding author.Queen's Hospital, Barking Havering Redbridge NHS trust, London, United KingdomRoyal London Hospital, Barts Health NHS trust, London, United KingdomSummary: Rupture of the Achilles tendon typically occurs at the mid-substance, and less commonly at the distal insertion or proximal musculotendinous junction. We report the case of a 60-year-old multi-morbid patient presenting with an avulsion of the Achilles tendon from the gastrocnemius-soleus complex - a variant of injury previously unrecorded in the literature. Initial Orthoplastic management involved debridement and primary fixation of the avulsed tendon to the muscle with a concurrent lateral rotational flap. Flap failure and loss of tendon viability necessitated further debridement and eventual split-skin grafting (SSG). A residual dorsiflexion deformity will undoubtedly require further operative intervention. Here, we report the management of this unreported variant of Achilles tendon injury and discuss alternatives to our initial management that could have resulted in fewer procedures and improved long-term functional outcomes.http://www.sciencedirect.com/science/article/pii/S2352587822000626Achilles tendon avulsionAchilles tendon ruptureRotational flapFHL tendon transferPrimary repair |
| spellingShingle | S. Shah A.S. Sehmbi L. Jeyaseelan The joint Orthoplastic management of an Achilles tendon avulsion: A rare case report JPRAS Open Achilles tendon avulsion Achilles tendon rupture Rotational flap FHL tendon transfer Primary repair |
| title | The joint Orthoplastic management of an Achilles tendon avulsion: A rare case report |
| title_full | The joint Orthoplastic management of an Achilles tendon avulsion: A rare case report |
| title_fullStr | The joint Orthoplastic management of an Achilles tendon avulsion: A rare case report |
| title_full_unstemmed | The joint Orthoplastic management of an Achilles tendon avulsion: A rare case report |
| title_short | The joint Orthoplastic management of an Achilles tendon avulsion: A rare case report |
| title_sort | joint orthoplastic management of an achilles tendon avulsion a rare case report |
| topic | Achilles tendon avulsion Achilles tendon rupture Rotational flap FHL tendon transfer Primary repair |
| url | http://www.sciencedirect.com/science/article/pii/S2352587822000626 |
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