Neglected rupture of the Achilles tendon. Treatment by V-Y tendinous flap.
A method is described that achieves end-to-end anastomosis of ruptures of the Achilles tendon. A sliding tendinous flap is developed over the proximal portion of the tendon by making an inverted V incision which is then repaired in a Y fashion. The procedure is recommended for patients with neglected ruptures of the Achilles tendon in which end-to-end anastomosis is otherwise impossible.
D000125:Achilles Tendon / Q000293:injuries* / Q000601:surgery; D000328:Adult; D002370:Casts, Surgical; D005081:Exercise Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007869:Leg Injuries / Q000601:surgery; D008297:Male; D008722:Methods; D011182:Postoperative Care; D012421:Rupture; D012775:Shoes; D013536:Suture Techniques; D013708:Tendon Injuries / Q000601:surgery*; D013997:Time Factors; D014945:Wound Healing