Open infected Achilles tendon injury—Reconstruction of tendon with fascia lata graft and soft tissue cover with a reverse flow sural flap

Boopalan, P.R.J.V.C.; Jepegnanam, Thilak Samuel; Titus, V. T. K.; Prasad, S.; Chittaranjan, Samuel

doi:10.1016/j.fas.2007.11.002

Cited by 24 publications

(24 citation statements)

References 13 publications

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“…[4][5][6][7] In our patient we decided to undertake reconstruction using a frozen cadaver allograft because the involvement of the tissues around the tendon was extensive and we were not sure whether other local tendons such as FHL and peroneus brevis were free from disease. The other leg was already compromised functionally because of previous excision of the tendo Achillis without reconstruction.…”

Section: Discussionmentioning

confidence: 99%

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Cadaver bone-tendon graft for xanthomatosis of the tendo Achillis

Scagnelli

Bianco

Imarisio

2009

The Journal of Bone and Joint Surgery. British volume

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We describe a 63-year-old man who had xanthomatosis of the right tendo Achillis. He had undergone excision of the left tendo Achillis 17 years earlier without reconstruction for the same condition. The neurological history and examination were normal. Blood investigations showed hypercholestrolaemia, for which he was being treated with statins. He was referred with pain in the right tendo Achillis and problems with footwear. He was treated by excision of the right tendo Achillis, the xanthomatous nodules and the involved skin, followed by reconstruction with a cadaver bone-tendon graft. At follow-up eight months postoperatively, the scar had healed well. He walked without pain and could wear any type of shoe. Plain radiographs showed that the bone graft had healed. The American Orthopaedic Foot and Ankle Society hindfoot score was 95/100. The patient's subjective evaluation of the result was very good.

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Section: Discussionmentioning

confidence: 99%

“…The use of a local tendon transfer such as flexor hallucis longus (FHL) or peroneus brevis has been suggested, 4,5 but other studies have reported the use of a free autologous tendon graft, such as gracilis, semitendinosus or fascia lata. 6 The use of a cadaver allograft of tendo Achillis has also been advocated. 7…”

mentioning

confidence: 99%

Cadaver bone-tendon graft for xanthomatosis of the tendo Achillis

Scagnelli

Bianco

Imarisio

2009

The Journal of Bone and Joint Surgery. British volume

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“…10 In one study, 20% of surgically repaired Achilles tendons developed wound complications. 11 In another study, a mere 1.5% infection rate occurred in 67 Achilles tendon repairs, but whether the injuries were open or closed was not mentioned.…”

Section: Achilles Tendon Peroneus Brevis Discussionmentioning

confidence: 99%

Repair of Achilles Tendon Ruptures with Peroneus Brevis Tendon Augmentation

Singh

Nag

Gupta

et al. 2014

J Orthop Surg (Hong Kong)

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Purpose.To report 22 patients who underwent repair of compound Achilles tendon ruptures with peroneus brevis tendon augmentation. Methods. Records of 6 women and 19 men aged 21 to 42 (mean, 28) years who underwent repair of compound Achilles tendon ruptures with peroneus brevis tendon augmentation were reviewed. All the wounds were transverse/oblique, minimally contaminated, and could be closed primarily. Patients were evaluated at months 3, 9, and 12, using the Foot and Ankle Outcome Score (FAOS) questionnaire. Results. Of the 22 patients, 3 developed superficial skin complications that healed gradually, and 2 developed a superficial discharging sinus and underwent minor debridement. No patient had a re-rupture of the Achilles tendon. At the one-year follow-up, all patients achieved good functional outcome in terms of the FAOS. Conclusion. Repair of Achilles tendon ruptures withRepair of Achilles tendon ruptures with peroneus brevis tendon augmentation Amarjeet Singh, Kushal Nag, Shuvendu P Roy, Ramesh Chandra Gupta, Vaibhav Gulati, Nikunj Agrawal

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“…The majority of reconstructive procedure involve autogeneous tissue transfers or heterogeneous homologous grafts. [8910] However, the latter was not commonly used because of limited suitable donor material availability and higher rates of immunological rejection and infection. [7] Among autogeneous tendon transfer, peroneus brevis and flexor hallucis longus transfer are commonly used, although tibialis posterior is also been used for reconstruction.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of reconstructive procedure involves autogeneous tissue transfers or heterogeneous homologous grafts. [8910] We report a rare case of bilateral xanthomatosis of tendoachilles tendon sheath which was managed by wide surgical excision and reconstruction with tensor fascia lata.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of bilateral tendoachilles with fascia lata graft

Saxena

Pradhan

Yadav

et al. 2013

IJOO

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A 19 year old male presented with progressive enlargement of both tendoachilles for 2 years and difficulty in walking for 3 months. The neurological history and examination revealed progressive mental deterioration and ataxia. The blood investigation revealed hypercholesterolemia. We report this rare case of cerebrotendinous xanthomatosis with bilateral tendoachilles enlargement, which was treated by excision of bilateral tendoachilles and reconstruction with fascia lata. The American Orthopedic Foot and Ankle Society hindfoot score was 93/100 bilaterally and the subjective evaluation of the patient showed very good results.

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Open infected Achilles tendon injury—Reconstruction of tendon with fascia lata graft and soft tissue cover with a reverse flow sural flap

Cited by 24 publications

References 13 publications

Cadaver bone-tendon graft for xanthomatosis of the tendo Achillis

Cadaver bone-tendon graft for xanthomatosis of the tendo Achillis

Repair of Achilles Tendon Ruptures with Peroneus Brevis Tendon Augmentation

Reconstruction of bilateral tendoachilles with fascia lata graft

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