title: Catastrophic Failure of an Infected Achilles Tendon Rupture Repair Managed with Combined Flexor Hallucis Longus and Peroneus Brevis Tendon Transfer.
abstract: Deep infection is one of the most devastating complications following repair of an Achilles tendon rupture. Treatment requires not only culture-driven antibiotic therapy, but more importantly, appropriate débridement of some or even all of the Achilles tendon. This may necessitate delayed reconstruction of the Achilles tendon. The authors present a successful case of reconstruction of a chronically infected Achilles tendon in an otherwise healthy 43-year-old man via a multistaged approach using the flexor hallucis longus and peroneus brevis tendons. We also provide a brief review of the literature regarding local tendon transfer used in the reconstruction of Achilles tendon rupture.
authors.affiliation: Departments of Orthopaedics, Podiatry, and Sports Medicine, Gundersen Health System, 1900 South Avenue, La Crosse, WI 54601, USA.
authors.forename: Devin C
authors.initials: DC
authors.lastname: Simonson
authors.affiliation: Podiatric Medicine and Surgery Resident (PGY-III), Gundersen Medical Foundation, 1900 South Avenue, La Crosse, WI 54601, USA.
authors.forename: Andrew D
authors.initials: AD
authors.lastname: Elliott
authors.affiliation: Departments of Orthopaedics, Podiatry, and Sports Medicine, Gundersen Health System, 1900 South Avenue, La Crosse, WI 54601, USA. Electronic address: tsroukis@gundersenhealth.org.
authors.forename: Thomas S
authors.initials: TS
authors.lastname: Roukis
mesh_terms: D000125:Achilles Tendon / Q000293:injuries*; D000328:Adult; D006801:Humans; D008297:Male; D012086:Reoperation; D012421:Rupture; D052256:Tendinopathy / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D013709:Tendon Transfer / Q000379:methods*; D017211:Treatment Failure
keywords: Complication; Negative pressure wound therapy; Postoperative infection; Skin graft; Tendon transfer