Microsurgical Reconstruction of the Achilles Tendon with a Fascia Lata Flap

Haddad, Jose Luis; Chávez‐Abraham, Victor; Carrera, Javier G.; Vilchis, Javier L.; Sastré, Nicolás

doi:10.1055/s-2007-1006408

Cited by 9 publications

(8 citation statements)

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“…Numerous studies have been performed to develop a microsurgical method that can restore the function of the Achilles tendon and also treat the composite tissue defect. Since Taylor and Townsend first reported the use of the vascularized external oblique aponeurosis flap to repair Achilles tendon defects in 1979 (Taylor and Townsend, 1979), various methods for Achilles tendon repair have been attempted with mixed results (Wills et al, 1986; Lidman et al, 1987; Wei et al, 1988; Inoue et al, 1990; Babu et al, 1994; Sylaidis and Fatah, 1995; Haddad et al, 1997). Gao et al used vascularized adductor magnus tendon flaps to repair Achilles tendon defects and achieved good outcomes (Gao et al, 1999; Chen et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

An anatomic and clinical study of the adductor magnus tendon‐descending genicular artery bone flap

Huang

Wang²,

et al. 2010

Clinical Anatomy

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The composite tissue flap of the descending genicular vessels with the adductor magnus tendon is a newly developed, reliable method to repair the Achilles tendon and relevant skin defects. The aim of this study was to evaluate the anatomy of the adductor magnus tendon-descending genicular artery bone flap, and the feasibility and value for the repair of the Achilles tendon and relevant skin defects. There were 34 adult specimens used for the anatomy of this flap. The descending genicular artery originates 10.5 ± 1.6 cm above the adductor tubercle, with a diameter of 1.8 ± 0.6 mm and a length of 1.2 ± 0.5 cm. Its articular branch is distributed in the adductor magnus tendon and the medial condyle of the femur. The saphenous branch has a diameter of 1.1 ± 0.3 mm and is distributed in the skin of the upper medial calf. A total of 16 cases of trauma-induced Achilles tendon damage and calcaneus and skin defects were repaired with the vascularized adductor magnus tendon bone flap, including the reconstruction of Achilles tendon insertion and repair of relevant skin defects. All of the composite tissue flaps were viable, the skin sensation of the flaps was recovered, and all patients walked with a normal gait. Our results suggested that the adductor magnus tendon-descending genicular artery bone flap is an alternative method to repair composite tissue defects of the Achilles tendon.

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Section: Introductionmentioning

confidence: 99%

An anatomic and clinical study of the adductor magnus tendon‐descending genicular artery bone flap

Huang

Wang²,

et al. 2010

Clinical Anatomy

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“…We do not think it is a good choice for such injuries, although it had been used by Lidman, Haddad, Deiler and Dabernig. 5,14,19,34 Anterolateral thigh perforator and scapular flaps were less bulky because of less subcutaneous fat. Compared with those from the thigh and trunk, the flaps taken from the leg were invariably thinner, including the sural flap, saphenous flap, pedicled fibular artery perforator flap, and the sliding gastrocnemius flap.…”

Section: Discussionmentioning

confidence: 99%

Open Achilles Tendon Defects: A 12-year Study on the Injury Mechanisms, Reconstructions, and Late Complications

Zhu

Mei

et al. 2014

J reconstr Microsurg

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“…The authors used freeze dried Achilles tendon allograft to bridge a gap of several centimeters and achieved very good result. A recent report from the human medical literature described the use of microsurgical techniques for total reconstruction of an open injury to the Achilles tendon with a gap in a physically active patient by a compound free musculocutaneous unit of fascia lata, with excellent result (12). The use of a composite lateral arm flap (skin, triceps musculotendinous section with a fragment of olecranon) for secondary repair of multiply ruptured Achilles tendon in an elderly patient, using microsurgical techniques, was also reported (28).…”

Section: Discussionmentioning

confidence: 99%

Repair of Chronic Complete Traumatic Rupture of the Common Calcaneal Tendon in a Dog, Using a Fascia Lata Graft

Shani¹,

Shahar²

2000

Vet Comp Orthop Traumatol

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SummaryA 3-month-old male Cocker Spaniel was presented with the complaint of chronic right hind leg lameness. The owner described superficial trauma at the area of the hock, which was noticed immediately after delivery. History, habitus, physical examination, and radiography suggested rupture of the common calcaneal tendon. This report describes the successful repair of complete rupture of the common calcaneal tendon, with loss of tendon length, using a fascia lata free graft.The following case report describes the successful repair of a chronic complete traumatic rupture of all components of the Achilles tendon with loss of tendon length, in a 3-month-old puppy, using a tensor fascia lata free graft. Due to the young age of the animal no internal fixation was used to protect the graft, and external coaptation was used instead. Achilles tendon rupture is a relatively common injury in humans and many methods of repair are reported for acute and chronic ruptures. The medical and veterinary literature is reviewed with regard to the pathogenesis and treatment of Achilles tendon rupture.

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Microsurgical Reconstruction of the Achilles Tendon with a Fascia Lata Flap

Cited by 9 publications

References 0 publications

An anatomic and clinical study of the adductor magnus tendon‐descending genicular artery bone flap

An anatomic and clinical study of the adductor magnus tendon‐descending genicular artery bone flap

Open Achilles Tendon Defects: A 12-year Study on the Injury Mechanisms, Reconstructions, and Late Complications

Repair of Chronic Complete Traumatic Rupture of the Common Calcaneal Tendon in a Dog, Using a Fascia Lata Graft

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