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KMID : 0371619910070010193
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Journal of Wonkwang Medical Science
1991 Volume.7 No. 1 p.193 ~ p.198
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Repair of Old Ruptured Achilles Tendon Using V-Y Tendinous Flap
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Abstract
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Old ruptures of the Achilles tendon are not common, and they pose many difficult problems in which wide separation of the ruptured tendon is not repaired by end-toend due to . Intervening scar tissue. Many methods have been attempted to fulfill the gap by grafting and to restore the continuity of the tendon. Although the results in many methods were reported as good or excellent, the extent of functional disability_ and residual muscle power were not usually unsatisfactory.
We operated the 4 patients with old rupture of the Achilles tendon by end-to-end anastomosis using the V-Y tendinous flap originated by Abraham and Pankovich in 1975.
The postoperative results were satisfactory with no functional disability of muscle power. There was neither re-rupture of the Achilles tendon nor adhesion of the tendon to the skin. Furthermore the skin problem is not developed.
In conclusion, the V-Y tendinous flap is easy to do, and the power of triceps muscle is normal range.
So we recommend that the method is useful for the treatment of old rupture of the Achilles tendon in which end-to-end anastomosis is otherwise impossible.
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