J foot ankle surg. Technique make v cut with apex at musculotendinous junction with limbs divergent to exit the tendon.
V Y Advancement And Fhl Transfer For The Chronic Or Neglected Achilles Tendon Rupture Raikin Orthopae Achilles Tendonitis Achilles Tendon Ruptures Achilles
Repair of chronic achilles tendon rupture with flexor hallucis longus tendon transfer.
Vy advancement achilles tendon. Klein recommends the use of absorbable sutures to reduce the symptoms should nerve injury occur. Reconstruction with vy advancement. Of these procedures fascia advancement provides a local autologous method to restore length in extensive achilles tendon defects 10 11 12.
The ma griffith repair consists of a bunnel suture applied to the proximal tendon and a box suture distally in the stump inserted through 6 para tendinous stab incisions. Techniques in foot ankle surgery. Percutaneous achilles tendon repair.
Clinically acute achilles tendon rupture can be easily diagnosed and cured. January 3 2013 13 comments. However a significant number of cases are still neglected without treatments.
The achilles tendon is the strongest largest and thickest tendon in the body 1 7 yet it is the most frequently ruptured tendon 2 5 8 with most ruptures occurring at the watershed area approximately 2 to 6 cm proximal to insertion of the tendon. Achilles tendon debridement and repair for insertional achilles tendinop. The v y plasty and the gastrocnemius soleus fascia turndown graft are the most common methods of advancement 10 11 12 for this purpose.
By the event 2012 featuring steven raikin. 1 4 6 14 achilles ruptures are most commonly seen in middle aged males 30 50 years old who participate intermittently in. Once the diagnosis and rupture gap is confirmed the incision is extended proximally along the posterior midline of the calf and extended to the myotendinous junction figure 3.
Vy advancement fhl transfer for achilles tears. Reconstruction of achilles tendon rupture with combined v y plasty and gastrocnemius soleus fascia turndown graft. Reconstruction with vy advancement.
Wapner kl pavlock gs hecht pj et al. Epub 2010 apr 2. Percutaneous achilles tendon repair.
Chronic achilles tendon repair with flexor hallucis longus tendon harvested using a minimally invasive technique. V is incised through only the superficial tendinous portion leaving the muscle fibers intact. Flexor hallucis longus transfer vy advancement of.
Though our results trend towards less satisfactory results following v y advancement we found high satisfaction rates with similar functional outcomes and complication rates in both operative groups. Login to view comments. Foot ankle 14 8 443.
V y advancement is comparable to fhl transfer for the operative management of insertional achilles tendinopathy. The initial longitudinal incision is made distally at the rupture level placed immediately medial to the achilles tendon to avoid potential sural nerve injury. Flexor hallucis longus transfer vy advancement of gastrocnemius the achilles tendon is one of the most commonly ruptured tendons of the lower extremity.
