ObjectiveTo demonstrate the results obtained from foot and ankle tendon reconstructions using the tendon of the semitendinosus muscle. The clinical results, the patient's degree of satisfaction and complications in the graft donor and recipient areas were evaluated.MethodsThis was a retrospective study in which the medical files of 38 patients who underwent this surgical procedure between 2006 and 2010 were surveyed. The functional results from this technique, the complications in the donor and recipient areas and the patients’ degree of satisfaction were evaluated.ResultsThree patients presented complications in the recipient area (skin necrosis); one patient showed complications in the donor area (pain and insensitivity); and all patients had satisfactory functional results, with complete range of motion.ConclusionThe semitendinosus muscle is a good option for treatments for foot and ankle tendon injuries.
Complex Syndactyly in the hand it is a challenge for surgical corrections. A critical point to assess is the reconstruction of the web space, while scarcity of skin it is often present. The web space should be always planned and designed to bring some function and covering of the deformities. The first web space has an importance to give function on grasping and pinch. In this report, we present a case of a complex syndactyly with a narrow first web space that was reconstructed by the second dorsal metacarpal artery flap. Despite of a critical malformation in the hand, the patient improved his pinch function and showed a good aesthetic outcome. We believe that this flap could be considered an alternative in dealing with this kind of condition and bring a satisfactory solution for web space reconstruction.
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