title: Longitudinal slit procedure in addition to negative pressure wound therapy for a refractory wound with exposed achilles tendon.
abstract: OBJECTIVE
  This case report reviews features of negative pressure wound therapy, particularly for the exposed Achilles tendon, and describes an additional effective procedure.
  
  
  METHODS
  An 87-year-old man presented with a soft-tissue defect measuring 3×5 cm with the exposed Achilles tendon as a sequela of deep burn. The condition of his affected leg was ischemic because of arteriosclerosis. We used negative pressure wound therapy and made 2 longitudinal slits penetrating the tendon to induce blood flow from the ventral side to the dorsal surface.
  
  
  RESULTS
  By this combination therapy, the surface of the exposed Achilles tendon was completely epithelialized and the tendon was spared without disuse syndrome.
  
  
  CONCLUSIONS
  The authors conclude that this combination therapy is useful for covering the widely exposed tendon in aged patients.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Erika
authors.initials: E
authors.lastname: Ohata
authors.affiliation: Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Yuzuriha
authors.affiliation: Department of Plastic and Reconstructive Surgery, Nagano Red Cross Hospital, Nagano, Japan.
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Mishima
authors.affiliation: Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Matsuo
keywords: Achilles tendon; burn; foot; longitudinal slit; negative pressure wound therapy
references.citation: J Bone Joint Surg Br. 1989 Jan;71(1):100-1
references.pmid: 2914976
references.citation: Ann Plast Surg. 1997 Jun;38(6):563-76; discussion 577
references.pmid: 9188971
references.citation: Microsurgery. 2006;26(3):190-2
references.pmid: 16482588
references.citation: Ann Plast Surg. 2005 Dec;55(6):665-71
references.pmid: 16327472
references.citation: Br J Plast Surg. 1990 Nov;43(6):728-31
references.pmid: 2257426
references.citation: Burns. 2011 Dec;37(8):1439-43
references.pmid: 21924835
references.citation: Burns. 2006 Jun;32(4):507-10
references.pmid: 16621306
references.citation: Eplasty. 2013 Oct 01;13:e51
references.pmid: 24106564
references.citation: Burns. 2008 May;34(3):406-11
references.pmid: 17850974
references.citation: Plast Reconstr Surg. 2000 Aug;106(2):342-9
references.pmid: 10946933
references.citation: Ann Burns Fire Disasters. 2013 Jun 30;26(2):90-3
references.pmid: 24133403
references.citation: Plast Reconstr Surg. 1999 Jul;104(1):111-9
references.pmid: 10597683
references.citation: Plast Reconstr Surg Glob Open. 2014 Jul 09;2(6):e170
references.pmid: 25289363
references.citation: J Oral Maxillofac Surg. 1999 Feb;57(2):204-6
references.pmid: 9973134
references.citation: J Burn Care Rehabil. 2002 May-Jun;23(3):167-71
references.pmid: 12032366
references.citation: Burns. 2011 May;37(3):480-3
references.pmid: 21167647